#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-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4221
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:12 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096628
{"resourceType" : "CapabilityStatement","id" : "FhirServer","text" : {"status" : "generated","div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Local User Conformance Statement</h2><p>FHIR v4.0.1 released 20251009165645.000Z. Server version 4.0.1 built 20251009165645.000Z</p><table class=\"grid\"><tr><th>Resource Type</th><th>Profile</th><th>Read</th><th>V-Read</th><th>Search</th><th>Update</th><th>Updates</th><th>Create</th><th>Delete</th><th>History</th></tr>\n</table>\n<p>Operations</p>\n<ul>\n <li>expand: see OperationDefinition/fso-expand</li>\n <li>lookup: see OperationDefinition/fso-lookup</li>\n <li>validate-code: see OperationDefinition/fso-validate-code</li>\n <li>batch-validate-code: see OperationDefinition/fso-batch-validate-code</li>\n <li>translate: see OperationDefinition/fso-translate</li>\n <li>closure: see OperationDefinition/fso-closure</li>\n <li>versions: see OperationDefinition/fso-versions</li>\n</ul>\n</div>"},"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" : "http://tx.fhir.org/r4/CapabilityStatement/tx","version" : "4.0.1-4.0.1","name" : "FHIRReferenceServer","title" : "FHIR Reference Server Conformance Statement","status" : "active","date" : "2025-11-07T16:25:12.893Z","contact" : [{"telecom" : [{"system" : "other","value" : "http://healthintersections.com.au/"}]}],"description" : "Standard Conformance Statement for the open source Reference FHIR Server provided by Health Intersections","kind" : "instance","instantiates" : ["http://hl7.org/fhir/CapabilityStatement/terminology-server","http://hl7.org/fhir/CapabilityStatement/terminology-server"],"software" : {"name" : "HealthIntersections Server","version" : "4.0.1","releaseDate" : "2025-10-09T16:56:45.000Z"},"implementation" : {"description" : "FHIR Server running at http://tx.fhir.org/r4","url" : "http://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. Not that there a few major code systems that are not available through this API (SCT, LOINC etc)"}],"operation" : [{"name" : "validate-code","definition" : "http://hl7.org/fhir/OperationDefinition/CodeSystem-validate-code"},{"name" : "lookup","definition" : "http://hl7.org/fhir/OperationDefinition/CodeSystem-lookup"}]},{"type" : "ValueSet","interaction" : [{"code" : "read","documentation" : "Read a ValueSet"},{"code" : "search-type","documentation" : "Search the value sets"}],"operation" : [{"name" : "validate-code","definition" : "http://hl7.org/fhir/OperationDefinition/ValueSet-validate-code"},{"name" : "expand","definition" : "http://hl7.org/fhir/OperationDefinition/ValueSet-expand"}]}],"interaction" : [{"code" : "transaction"}],"operation" : [{"name" : "expand","definition" : "http://hl7.org/fhir/OperationDefinition/ValueSet-expand"},{"name" : "lookup","definition" : "http://hl7.org/fhir/OperationDefinition/ValueSet-lookup"},{"name" : "validate-code","definition" : "http://hl7.org/fhir/OperationDefinition/Resource-validate-code"},{"name" : "batch-validate-code","definition" : "http://hl7.org/fhir/OperationDefinition/Resource-batch-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://tx.fhir.org/r4/OperationDefinition/fso-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-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
connection:keep-alive
content-length:195452
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:13 GMT
server:nginx
x-request-id:245-1096629
{"resourceType" : "TerminologyCapabilities","id" : "FhirServer","url" : "http://tx.fhir.org/r4/TerminologyCapabilities/tx","version" : "2.0.0","name" : "FHIRReferenceServerTerminologyCapabilities","title" : "FHIR Reference Server Terminology Capability Statement","status" : "active","date" : "2025-11-07T01:08:31.457Z","contact" : [{"telecom" : [{"system" : "other","value" : "http://healthintersections.com.au/"}]}],"description" : "Standard Terminology Capability Statement for the open source Reference FHIR Server provided by Health Intersections","kind" : "instance","codeSystem" : [{"uri" : "http://cap.org/eCP","version" : [{"code" : "4.000.001"}]},{"uri" : "http://cds-hooks.hl7.org/CodeSystem/indicator","version" : [{"code" : "4.0.1"}]},{"uri" : "http://devices.fhir.org/CodeSystem/MDC-concept-status"},{"uri" : "http://devices.fhir.org/CodeSystem/MDC-designation-use"},{"uri" : "http://dicom.nema.org/resources/ontology/DCM","version" : [{"code" : "01"}]},{"uri" : "http://dicom.nema.org/resources/ontology/DCM","version" : [{"code" : "2025.3.20250714"}]},{"uri" : "http://fdasis.nlm.nih.gov","version" : [{"code" : "2024-06-22"}]},{"uri" : "http://healthit.gov/nhin/purposeofuse","version" : [{"code" : "2.0"}]},{"uri" : "http://hl7.org/fhir/abstract-types","version" : [{"code" : "4.0.1"}]},{"uri" : "http://hl7.org/fhir/account-status","version" : [{"code" : "4.0.1"}]},{"uri" : "http://hl7.org/fhir/action-cardinality-behavior","version" : [{"code" : "4.0.1"}]},{"uri" : "http://hl7.org/fhir/action-condition-kind","version" : [{"code" : "4.0.1"}]},{"uri" : "http://hl7.org/fhir/action-grouping-behavior","version" : [{"code" : "4.0.1"}]},{"uri" : "http://hl7.org/fhir/action-participant-type","version" : [{"code" : "4.0.1"}]},{"uri" : "http://hl7.org/fhir/action-precheck-behavior","version" : [{"code" : "4.0.1"}]},{"uri" : "http://hl7.org/fhir/action-relationship-type","version" : [{"code" : "4.0.1"}]},{"uri" : 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[{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-RelationshipConjunction","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-ResponseLevel","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-ResponseLevel","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-ResponseModality","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-ResponseModality","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-ResponseMode","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-ResponseMode","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-RoleClass","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-RoleClass","version" : [{"code" : "4.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-RoleLinkStatus","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-RoleLinkStatus","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-RoleLinkType","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-RoleLinkType","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-RoleStatus","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-RoleStatus","version" : [{"code" : "3.0.0"}]},{"uri" : 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[{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-styleType","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-SubstitutionCondition","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-SubstitutionCondition","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-TableCellHorizontalAlign","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-TableCellHorizontalAlign","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-TableCellScope","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-TableCellScope","version" : [{"code" : 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"http://terminology.hl7.org/CodeSystem/v3-TelecommunicationCapabilities","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-TelecommunicationCapabilities","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-TimingEvent","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-TimingEvent","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-TransmissionRelationshipTypeCode","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-TransmissionRelationshipTypeCode","version" : [{"code" : "3.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS","version" : [{"code" : "2018-08-12"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS","version" : [{"code" : "4.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/v3-triggerEventID","version" : [{"code" : "2018-08-12"}]},{"uri" : 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"http://terminology.hl7.org/CodeSystem/validation-status","version" : [{"code" : "1.0.1"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/validation-status","version" : [{"code" : "4.0.1"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/validation-type","version" : [{"code" : "1.0.1"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/validation-type","version" : [{"code" : "4.0.1"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/variable-role","version" : [{"code" : "2.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/variable-role-subtype","version" : [{"code" : "1.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/variant-state","version" : [{"code" : "1.0.0"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/variant-state","version" : [{"code" : "4.0.1"}]},{"uri" : "http://terminology.hl7.org/CodeSystem/verificationresult-communication-method","version" : [{"code" : "1.0.0"}]},{"uri" : 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"http://www.whocc.no/atc","version" : [{"code" : "2025"}]},{"uri" : "https://fevir.net/sevco","version" : [{"code" : "2.0"}]},{"uri" : "https://fhir-terminology.ohdsi.org","version" : [{"code" : "20240716"}]},{"uri" : "https://nahdo.org/sopt","version" : [{"code" : "9.2"}]},{"uri" : "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/cdcnhsn.html","version" : [{"code" : "2023-04"}]},{"uri" : "https://www.cdc.gov/nhsn/cdaportal/terminology/codesystem/hsloc.html","version" : [{"code" : "2022"}]},{"uri" : "https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set","version" : [{"code" : "20240502"}]},{"uri" : "https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding","version" : [{"code" : "07/14/2020"}]},{"uri" : "https://www.humanservices.gov.au/organisations/health-professionals/enablers/air-vaccine-code-formats","version" : [{"code" : "20210222"}]},{"uri" : "https://www.iana.org/time-zones","version" : [{"code" : "20210124"}]},{"uri" : "https://www.usps.com/"},{"uri" : "urn:ietf:bcp:13"},{"uri" : "urn:ietf:bcp:47"},{"uri" : "urn:ietf:rfc:3986","version" : [{"code" : "n/a"}]},{"uri" : "urn:iso:std:iso:11073:10101","version" : [{"code" : "2024-12-05"}]},{"uri" : "urn:iso:std:iso:3166:-2","version" : [{"code" : "2021"}]},{"uri" : "urn:iso:std:iso:3166","version" : [{"code" : "2018"}]},{"uri" : "urn:iso:std:iso:3166","version" : [{"code" : "20210120"}]},{"uri" : "urn:iso:std:iso:4217"},{"uri" : "urn:iso-astm:E1762-95:2013","version" : [{"code" : "4.0.1"}]},{"uri" : "urn:oid:1.2.36.1.2001.1001.101.104.16592","version" : [{"code" : "4.0.1"}]},{"uri" : "urn:oid:1.2.36.1.2001.1005.17"},{"uri" : "urn:oid:2.16.840.1.113883.2.9.6.2.7","version" : [{"code" : "ISCO-08"}]},{"uri" : "urn:oid:2.16.840.1.113883.3.1937.98.5.8"},{"uri" : "urn:oid:2.16.840.1.113883.6.238","version" : [{"code" : "1.2"}]}],"expansion" : {"parameter" : [{"name" : "cache-id","documentation" : "This server supports caching terminology 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#3
POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
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Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher
{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"urn:ietf:bcp:13","code":"application/zip"}},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
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access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
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connection:keep-alive
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content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:28 GMT
last-modified:Fri, 07 Nov 2025 16:25:28 GMT
pragma:no-cache
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{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:13"},{"name" : "code","valueCode" : "application/zip"},{"name" : "display","valueString" : "application/zip"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[urn:ietf:bcp:13#application/zip (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"urn:ietf:bcp:13#application/zip\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"urn:ietf:bcp:13|\" (content = complete)\r\n"}]}
#4
POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
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Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
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{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"urn:ietf:bcp:47","code":"de-AT"}},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
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last-modified:Fri, 07 Nov 2025 16:25:28 GMT
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{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "de-AT"},{"name" : "display","valueString" : "German (Region=Austria)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[urn:ietf:bcp:47#de-AT (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"urn:ietf:bcp:47#de-AT\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"urn:ietf:bcp:47|\" (content = complete)\r\n"}]}
#5
POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher
{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"urn:ietf:bcp:13","code":"text/plain"}},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
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date:Fri, 07 Nov 2025 16:25:28 GMT
last-modified:Fri, 07 Nov 2025 16:25:28 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096667
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:13"},{"name" : "code","valueCode" : "text/plain"},{"name" : "display","valueString" : "text/plain"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[urn:ietf:bcp:13#text/plain (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"urn:ietf:bcp:13#text/plain\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"urn:ietf:bcp:13|\" (content = complete)\r\n"}]}
#6
POST https://tx.fhir.org/r4/CodeSystem/$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":"http://snomed.info/sct","code":"440654001"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:955
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:30 GMT
last-modified:Fri, 07 Nov 2025 16:25:30 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096669
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "440654001"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Inpatient environment (environment)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#440654001 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#440654001\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#7
POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher
{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"440655000"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:956
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:30 GMT
last-modified:Fri, 07 Nov 2025 16:25:30 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096670
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "440655000"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Outpatient environment (environment)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#440655000 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#440655000\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#8
POST https://tx.fhir.org/r4/CodeSystem/$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://snomed.info/sct","code":"43741000"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:929
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:30 GMT
last-modified:Fri, 07 Nov 2025 16:25:30 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096671
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "43741000"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Site of care"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#43741000 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#43741000\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#9
POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher
{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"394733009"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:955
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:30 GMT
last-modified:Fri, 07 Nov 2025 16:25:30 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096672
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "394733009"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Medical specialty (qualifier value)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#394733009 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#394733009\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#10
POST https://tx.fhir.org/r4/CodeSystem/$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://snomed.info/sct","code":"419891008"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:953
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:30 GMT
last-modified:Fri, 07 Nov 2025 16:25:30 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096673
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "419891008"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Record artifact (record artifact)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#419891008 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#419891008\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#11
POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher
{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"404684003"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:946
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:30 GMT
last-modified:Fri, 07 Nov 2025 16:25:30 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096674
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "404684003"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Clinical finding (finding)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#404684003 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#404684003\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#12
POST https://tx.fhir.org/r4/CodeSystem/$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://snomed.info/sct","code":"71388002"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:926
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:30 GMT
last-modified:Fri, 07 Nov 2025 16:25:30 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096675
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "71388002"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Procedure"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#71388002 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#71388002\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#13
POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher
{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"362981000"}},{"name":"displayLanguage","valueString":"en, en-US"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:935
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:31 GMT
last-modified:Fri, 07 Nov 2025 16:25:31 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096676
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "362981000"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Qualifier value"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=en, en-US, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#362981000 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#362981000\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#14
POST https://tx.fhir.org/r4/ValueSet/$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":"de-DE"},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"languages","meta":{"lastUpdated":"2019-10-31T22:29:23.356+00:00","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":"trial-use"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":3}],"url":"http://hl7.org/fhir/ValueSet/languages","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.20"}],"version":"4.0.1","name":"CommonLanguages","title":"Common Languages","status":"draft","experimental":false,"date":"2016-08-22T09:53:05+00:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes common codes from BCP-47 (http://tools.ietf.org/html/bcp47)","compose":{"include":[{"system":"urn:ietf:bcp:47","concept":[{"code":"ar","display":"Arabic","designation":[{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Arabisk"},{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Arabic"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Arabisch"}]},{"code":"bn","display":"Bengali","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Bengali"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Bengaals"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Бенгальский"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"孟加拉语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Bengalisch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Bengalsk"}]},{"code":"cs","display":"Czech","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Czech"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Tsjechisch"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Чешский"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"捷克语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Tschechisch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Tjekkisk"}]},{"code":"da","display":"Danish","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Danish"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Deens"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Датский"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"丹麦语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Dänisch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Dansk"}]},{"code":"de","display":"German","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"German"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Duits"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Немецкий"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"德语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Deutsch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Tysk"}]},{"code":"de-AT","display":"German 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(Sweden)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Swedish (Sweden)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Zweeds (Zweden)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Шведский (Швеция)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"瑞典语 （瑞典）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Schwedisch (Schweden)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Svensk (Sverige)"}]},{"code":"te","display":"Telegu","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Telegu"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Teloegoe"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Телугу"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"泰卢固语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Telugu"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Telugu"}]},{"code":"zh","display":"Chinese","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinese"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinees"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kитайский"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"中文"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinesisch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kinesisk"}]},{"code":"zh-CN","display":"Chinese (China)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinese (China)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinees (China)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kитайский (Китай)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"中文 （中国）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinesisch (China)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kinesisk (Kina)"}]},{"code":"zh-HK","display":"Chinese (Hong Kong)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinese (Hong Kong)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinees (Hong Kong)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kитайский (Гонконг)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"中文 （香港特别行政区）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinesisch (Hong Kong)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kinesisk (Hong Kong)"}]},{"code":"zh-SG","display":"Chinese (Singapore)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinese (Singapore)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinees (Singapore)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kитайский (Сингапур)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"中文 （新加坡）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinesisch (Singapur)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kinesisk (Singapore)"}]},{"code":"zh-TW","display":"Chinese (Taiwan)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinese (Taiwan)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinees (Taiwan)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kитайский (Тайвань)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"中文 （台湾）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinesisch (Taiwan)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kinesisk (Taiwan)"}]}]}]}}},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1060
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:31 GMT
last-modified:Fri, 07 Nov 2025 16:25:31 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096682
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "en"},{"name" : "display","valueString" : "Englisch"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n47 47: tx-op\r\n47 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Analysing\r\n47 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Parameters: disp-lang=de-DE, default-to-latest\r\n47 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: CodeSystem found: \"urn:ietf:bcp:47|\"\r\n47 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Validate \"[#en (\"\")]\" and infer system\r\n47 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Check \"#en\"\r\n47 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n47 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n47 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Code \"en\" found in urn:ietf:bcp:47|\r\n"}]}
#19
POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher
{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"440654001"}},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"displayLanguage","valueCode":"de-DE"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:951
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:31 GMT
last-modified:Fri, 07 Nov 2025 16:25:31 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096683
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "440654001"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Inpatient environment (environment)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#440654001 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#440654001\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#20
POST https://tx.fhir.org/r4/CodeSystem/$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://snomed.info/sct","code":"440655000"}},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"displayLanguage","valueCode":"de-DE"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:952
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:31 GMT
last-modified:Fri, 07 Nov 2025 16:25:31 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096684
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "440655000"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Outpatient environment (environment)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#440655000 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#440655000\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#21
POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher
{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"43741000"}},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"displayLanguage","valueCode":"de-DE"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:925
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:31 GMT
last-modified:Fri, 07 Nov 2025 16:25:31 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096685
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "43741000"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Site of care"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#43741000 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#43741000\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#22
POST https://tx.fhir.org/r4/CodeSystem/$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://snomed.info/sct","code":"394733009"}},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"displayLanguage","valueCode":"de-DE"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:951
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:31 GMT
last-modified:Fri, 07 Nov 2025 16:25:31 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096686
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "394733009"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Medical specialty (qualifier value)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#394733009 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#394733009\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#23
POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher
{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"419891008"}},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"displayLanguage","valueCode":"de-DE"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:949
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:31 GMT
last-modified:Fri, 07 Nov 2025 16:25:31 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096687
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "419891008"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Record artifact (record artifact)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#419891008 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#419891008\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#24
POST https://tx.fhir.org/r4/CodeSystem/$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://snomed.info/sct","code":"404684003"}},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"displayLanguage","valueCode":"de-DE"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:942
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:32 GMT
last-modified:Fri, 07 Nov 2025 16:25:32 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096689
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "404684003"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Clinical finding (finding)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#404684003 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#404684003\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#25
POST https://tx.fhir.org/r4/CodeSystem/$validate-code? HTTP/1.0
Accept: application/fhir+json; fhirVersion=4.0
Content-Type: application/fhir+json; fhirVersion=4.0;charset=UTF-8
User-Agent: fhir/publisher
{"resourceType":"Parameters","parameter":[{"name":"coding","valueCoding":{"system":"http://snomed.info/sct","code":"71388002"}},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"displayLanguage","valueCode":"de-DE"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:922
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:32 GMT
last-modified:Fri, 07 Nov 2025 16:25:32 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096690
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "71388002"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Procedure"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#71388002 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#71388002\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#26
POST https://tx.fhir.org/r4/CodeSystem/$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://snomed.info/sct","code":"362981000"}},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"displayLanguage","valueCode":"de-DE"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:931
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:32 GMT
last-modified:Fri, 07 Nov 2025 16:25:32 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096691
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://snomed.info/sct"},{"name" : "code","valueCode" : "362981000"},{"name" : "version","valueString" : "http://snomed.info/sct/900000000000207008/version/20250201"},{"name" : "display","valueString" : "Qualifier value"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://snomed.info/sct#362981000 (\"\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://snomed.info/sct#362981000\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\" (content = complete)\r\n"}]}
#27
GET https://tx.fhir.org/r4/ValueSet?_format=json&url=https%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fext%2Fmodul-dokument%2FCapabilityStatement%2Fmii-cps-dokument-capabilitystatement%2Fmetadata HTTP/1.0 User-Agent: hapi-fhir-tooling-client Accept: application/fhir+json; fhirVersion=4.0
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:349
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:39 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096725
{"resourceType" : "Bundle","id" : "08657e05-ed5a-498e-87ab-bd66e4cd1e","meta" : {"lastUpdated" : "2025-11-07T16:25:39.112Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/CapabilityStatement/mii-cps-dokument-capabilitystatement/metadata"}]}
#28
GET https://tx.fhir.org/r4/ValueSet?_format=json&url=http%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fext%2Fmodul-dokument%2FCapabilityStatement%2Fmii-cps-dokument-capabilitystatement%2Fmetadata HTTP/1.0 User-Agent: hapi-fhir-tooling-client Accept: application/fhir+json; fhirVersion=4.0
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:348
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:39 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096726
{"resourceType" : "Bundle","id" : "76509f36-d7d6-44fe-ab00-52bd44086f","meta" : {"lastUpdated" : "2025-11-07T16:25:39.221Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/CapabilityStatement/mii-cps-dokument-capabilitystatement/metadata"}]}
#29
GET https://tx.fhir.org/r4/ValueSet?_format=json&url=https%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fext%2Fmodul-dokument%2FSearchParameter%2FDocumentReference-doc-status HTTP/1.0 User-Agent: hapi-fhir-tooling-client Accept: application/fhir+json; fhirVersion=4.0
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:328
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:39 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096727
{"resourceType" : "Bundle","id" : "ad566ae1-2519-4d7c-b66e-40f6b09365","meta" : {"lastUpdated" : "2025-11-07T16:25:39.346Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/SearchParameter/DocumentReference-doc-status"}]}
#30
GET https://tx.fhir.org/r4/ValueSet?_format=json&url=http%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fext%2Fmodul-dokument%2FSearchParameter%2FDocumentReference-doc-status HTTP/1.0 User-Agent: hapi-fhir-tooling-client Accept: application/fhir+json; fhirVersion=4.0
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:327
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:39 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096729
{"resourceType" : "Bundle","id" : "ebecd6c6-3dd1-4d03-bdc2-a5289e1ac2","meta" : {"lastUpdated" : "2025-11-07T16:25:39.440Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/SearchParameter/DocumentReference-doc-status"}]}
#31
GET https://tx.fhir.org/r4/ValueSet?_format=json&url=https%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fext%2Fmodul-dokument%2FSearchParameter%2FDocumentReference-creation HTTP/1.0 User-Agent: hapi-fhir-tooling-client Accept: application/fhir+json; fhirVersion=4.0
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:326
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:39 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096731
{"resourceType" : "Bundle","id" : "457b8b1e-9515-4e42-9aa8-d20e1c43e9","meta" : {"lastUpdated" : "2025-11-07T16:25:39.581Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/SearchParameter/DocumentReference-creation"}]}
#32
GET https://tx.fhir.org/r4/ValueSet?_format=json&url=http%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fext%2Fmodul-dokument%2FSearchParameter%2FDocumentReference-creation HTTP/1.0 User-Agent: hapi-fhir-tooling-client Accept: application/fhir+json; fhirVersion=4.0
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:325
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:39 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096732
{"resourceType" : "Bundle","id" : "92d7aa86-443b-491c-ab33-dc9b2767ff","meta" : {"lastUpdated" : "2025-11-07T16:25:39.674Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/SearchParameter/DocumentReference-creation"}]}
#33
GET https://tx.fhir.org/r4/ValueSet?_format=json&url=https%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fext%2Fmodul-dokument%2FSearchParameter%2FDocumentReference-nlp-processing-status HTTP/1.0 User-Agent: hapi-fhir-tooling-client Accept: application/fhir+json; fhirVersion=4.0
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:339
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:39 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096733
{"resourceType" : "Bundle","id" : "d7f5a7fe-9dd3-4645-94a7-8c75a30092","meta" : {"lastUpdated" : "2025-11-07T16:25:39.799Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/SearchParameter/DocumentReference-nlp-processing-status"}]}
#34
GET https://tx.fhir.org/r4/ValueSet?_format=json&url=http%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fext%2Fmodul-dokument%2FSearchParameter%2FDocumentReference-nlp-processing-status HTTP/1.0 User-Agent: hapi-fhir-tooling-client Accept: application/fhir+json; fhirVersion=4.0
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:338
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:39 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096734
{"resourceType" : "Bundle","id" : "e9aa29e8-1522-4032-9f32-6f47767024","meta" : {"lastUpdated" : "2025-11-07T16:25:39.893Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/SearchParameter/DocumentReference-nlp-processing-status"}]}
#35
GET https://tx.fhir.org/r4/ValueSet?_format=json&url=http%3A%2F%2Ffhir.org%2Fpackages%2Fdvmd.kdl.r4%2FImplementationGuide%2Fdvmd.kdl.r4 HTTP/1.0 User-Agent: hapi-fhir-tooling-client Accept: application/fhir+json; fhirVersion=4.0
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:284
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:40 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096735
{"resourceType" : "Bundle","id" : "e2f26dd2-dde5-452c-b3da-8a84d082f5","meta" : {"lastUpdated" : "2025-11-07T16:25:40.206Z"},"type" : "searchset","total" : 0,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://fhir.org/packages/dvmd.kdl.r4/ImplementationGuide/dvmd.kdl.r4"}]}
#36
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":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://dvmd.de/fhir/CodeSystem/kdl","version":"2025","code":"AD010110","display":"Ärztlicher Verlaufsbericht"},{"system":"http://ihe-d.de/CodeSystems/IHEXDStypeCode","version":"3.0.1","code":"BERI","display":"Arztberichte"}],"text":"Durchgangsarztbericht"}},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"c80-doc-typecodes","meta":{"lastUpdated":"2019-10-31T22:29:23.356+00:00","profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"sd"}],"url":"http://hl7.org/fhir/ValueSet/c80-doc-typecodes","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.3.88.12.80.47"}],"version":"4.0.1","name":"DocumentTypeValueSet","title":"Document Type Value Set","status":"active","experimental":false,"date":"2019-11-01T09:29:23+11:00","publisher":"HITSP","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"},{"system":"email","value":"fhir@lists.hl7.org"}]}],"description":"This is the code specifying the precise type of document (e.g. Pulmonary History and Physical, Discharge Summary, Ultrasound Report, etc.). The Document Type value set includes all LOINC values listed in HITSP C80 Table 2-144 Document Class Value Set Definition above used for Document Class, and all LOINC values whose SCALE is DOC in the LOINC database.","copyright":"This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.","compose":{"include":[{"system":"http://loinc.org","concept":[{"code":"55107-7","display":"Addendum Document"},{"code":"74155-3","display":"ADHD action plan"},{"code":"51851-4","display":"Administrative note"},{"code":"67851-6","display":"Admission evaluation note"},{"code":"34744-3","display":"Nurse Admission evaluation note"},{"code":"34873-0","display":"Surgery Admission evaluation note"},{"code":"68552-9","display":"Emergency medicine Emergency department Admission evaluation note"},{"code":"67852-4","display":"Hospital Admission evaluation note"},{"code":"68471-2","display":"Cardiology Hospital Admission evaluation note"},{"code":"68483-7","display":"Cardiology Medical student Hospital Admission evaluation note"},{"code":"64058-1","display":"Critical Care Medicine Hospital Admission evaluation note"},{"code":"64070-6","display":"Critical care medicine Medical student Hospital Admission evaluation note"},{"code":"64053-2","display":"General medicine Hospital Admission evaluation note"},{"code":"64054-0","display":"General medicine Medical student Hospital Admission evaluation note"},{"code":"34862-3","display":"General medicine Physician attending Hospital Admission evaluation note"},{"code":"64062-3","display":"Pulmonary Hospital Admission evaluation note"},{"code":"64078-9","display":"Pulmonary Medical student Hospital Admission evaluation note"},{"code":"64066-4","display":"Surgery Medical student Hospital Admission evaluation note"},{"code":"64060-7","display":"Thoracic surgery Hospital Admission evaluation note"},{"code":"64074-8","display":"Thoracic surgery Medical student Hospital Admission evaluation note"},{"code":"51849-8","display":"Admission history and physical note"},{"code":"34763-3","display":"General medicine Admission history and physical note"},{"code":"47039-3","display":"Hospital Admission history and physical note"},{"code":"34094-3","display":"Cardiology Hospital Admission history and physical note"},{"code":"57830-2","display":"Admission request Document"},{"code":"48765-2","display":"Allergies and adverse reactions Document"},{"code":"74152-0","display":"Anaphylaxis action plan"},{"code":"61359-6","display":"Patient Anesthesia consent"},{"code":"57055-6","display":"Antepartum summary note"},{"code":"56446-8","display":"Appointment summary Document"},{"code":"51848-0","display":"Assessment note"},{"code":"68814-3","display":"Pediatrics Assessment note"},{"code":"64064-9","display":"Pastoral care Hospital Assessment note"},{"code":"51847-2","display":"Assessment + Plan note"},{"code":"69981-9","display":"Asthma action plan"},{"code":"74154-6","display":"Autism action plan"},{"code":"71230-7","display":"Birth certificate Document"},{"code":"72134-0","display":"Cancer event report"},{"code":"55108-5","display":"Clinical presentation Document"},{"code":"73568-8","display":"Communication of critical results [Description] Document"},{"code":"74144-7","display":"Complex medical conditions action plan"},{"code":"55109-3","display":"Complications Document"},{"code":"34095-0","display":"Comprehensive history and physical note"},{"code":"34096-8","display":"Nursing facility Comprehensive history and physical note"},{"code":"63485-7","display":"Computer generated recommendation Document"},{"code":"55110-1","display":"Conclusions Document"},{"code":"34098-4","display":"Conference note"},{"code":"34097-6","display":"Nursing facility Conference note"},{"code":"47040-1","display":"Consultation 2nd opinion"},{"code":"47041-9","display":"Hospital Consultation 2nd opinion"},{"code":"59284-0","display":"Patient Consent"},{"code":"11488-4","display":"Consult note"},{"code":"34099-2","display":"Cardiology Consult note"},{"code":"34756-7","display":"Dentistry Consult note"},{"code":"34758-3","display":"Dermatology Consult note"},{"code":"34760-9","display":"Diabetology Consult note"},{"code":"34879-7","display":"Endocrinology Consult note"},{"code":"34761-7","display":"Gastroenterology Consult note"},{"code":"34764-1","display":"General medicine Consult note"},{"code":"34776-5","display":"Geriatric medicine Consult note"},{"code":"34779-9","display":"Hematology+Medical Oncology Consult note"},{"code":"34781-5","display":"Infectious disease Consult note"},{"code":"72555-6","display":"Interventional radiology Consult note"},{"code":"34783-1","display":"Kinesiotherapy Consult note"},{"code":"34785-6","display":"Mental health Consult note"},{"code":"34795-5","display":"Nephrology Consult note"},{"code":"34798-9","display":"Neurological surgery Consult note"},{"code":"34797-1","display":"Neurology Consult note"},{"code":"34800-3","display":"Nutrition and dietetics Consult note"},{"code":"34777-3","display":"Obstetrics and Gynecology Consult note"},{"code":"34803-7","display":"Occupational medicine Consult note"},{"code":"34855-7","display":"Occupational therapy Consult note"},{"code":"34805-2","display":"Oncology Consult note"},{"code":"34807-8","display":"Ophthalmology Consult note"},{"code":"34810-2","display":"Optometry Consult note"},{"code":"34812-8","display":"Oral and Maxillofacial Surgery Consult note"},{"code":"34814-4","display":"Orthopaedic surgery Consult note"},{"code":"34816-9","display":"Otolaryngology Consult note"},{"code":"34820-1","display":"Pharmacy Consult note"},{"code":"34822-7","display":"Physical medicine and rehabilitation Consult note"},{"code":"34824-3","display":"Physical therapy Consult note"},{"code":"34826-8","display":"Plastic surgery Consult note"},{"code":"34828-4","display":"Podiatry Consult note"},{"code":"34788-0","display":"Psychiatry Consult note"},{"code":"34791-4","display":"Psychology Consult note"},{"code":"34103-2","display":"Pulmonary Consult note"},{"code":"34831-8","display":"Radiation oncology Consult note"},{"code":"73575-3","display":"Radiology Consult note"},{"code":"34833-4","display":"Recreational therapy Consult note"},{"code":"34837-5","display":"Respiratory therapy Consult note"},{"code":"34839-1","display":"Rheumatology Consult note"},{"code":"34841-7","display":"Social work Consult note"},{"code":"34845-8","display":"Speech-language pathology+Audiology Consult note"},{"code":"34847-4","display":"Surgery Consult note"},{"code":"34849-0","display":"Thoracic surgery Consult note"},{"code":"34851-6","display":"Urology Consult note"},{"code":"34853-2","display":"Vascular surgery Consult note"},{"code":"51846-4","display":"Emergency department Consult note"},{"code":"34104-0","display":"Hospital Consult note"},{"code":"68619-6","display":"Adolescent medicine Hospital Consult note"},{"code":"68633-7","display":"Allergy and immunology Hospital Consult note"},{"code":"68639-4","display":"Audiology Hospital Consult note"},{"code":"68486-0","display":"Cardiology Medical student Hospital Consult note"},{"code":"68648-5","display":"Child and adolescent psychiatry Hospital Consult note"},{"code":"68651-9","display":"Clinical biochemical genetics Hospital Consult note"},{"code":"68661-8","display":"Clinical genetics Hospital Consult note"},{"code":"64072-2","display":"Critical care medicine Medical student Hospital Consult note"},{"code":"68551-1","display":"Dermatology Hospital Consult note"},{"code":"68670-9","display":"Developmental-behavioral pediatrics Hospital Consult note"},{"code":"64056-5","display":"General medicine Medical student Hospital Consult note"},{"code":"68681-6","display":"Multi-specialty program Hospital Consult note"},{"code":"68685-7","display":"Neonatal perinatal medicine Hospital Consult note"},{"code":"68694-9","display":"Neurological surgery Hospital Consult note"},{"code":"68705-3","display":"Neurology with special qualifications in child neurology Hospital Consult note"},{"code":"68566-9","display":"Obstetrics and Gynecology Hospital Consult note"},{"code":"68570-1","display":"Occupational therapy Hospital Consult note"},{"code":"68575-0","display":"Ophthalmology Hospital Consult note"},{"code":"68716-0","display":"Pain medicine Hospital Consult note"},{"code":"68469-6","display":"Pastoral care Hospital Consult note"},{"code":"68727-7","display":"Pediatric cardiology Hospital Consult note"},{"code":"68892-9","display":"Pediatric dermatology Hospital Consult note"},{"code":"68897-8","display":"Pediatric endocrinology Hospital Consult note"},{"code":"68746-7","display":"Pediatric gastroenterology Hospital Consult note"},{"code":"68757-4","display":"Pediatric hematology-oncology Hospital Consult note"},{"code":"68765-7","display":"Pediatric infectious diseases 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Inkl.: Beratungsbescheinigung, administrative Bescheinigung über den Krankenhausaufenthalt, Schulbescheinigung Inkl.: KBV Muster 85 (Nachweis der Anspruchsberechtigung)"}]},{"code":"AD0202","display":"Befunderhebungen","concept":[{"code":"AD020201","display":"Anatomische Skizze","definition":"Die Dokumentation beinhaltet anatomische Abbildungen, die zur Befunderhebung dienen."},{"code":"AD020202","display":"Befundbogen","definition":"Die Dokumentation beinhaltet Ergebnisse der ärztlichen Untersuchung. Exkl.: Funktionsdiagnostik, bildgebende Diagnostik, Funktionstest, Ärztlicher Befundbericht"},{"code":"AD020203","display":"Bericht Gesundheitsuntersuchung","definition":"Die Dokumentation beinhaltet Ergebnisse der ärztlichen Untersuchung, die von öffentlichen Trägern vorgegeben wird. 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Exkl.: Ärztlicher Verlaufsbericht, Pflegevisite, Apotheke Visitenprotokoll"},{"code":"AD060106","display":"Tumorkonferenzprotokoll","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"AD060107","display":"Teambesprechungsprotokoll","definition":"Die Dokumentation beinhaltet Angaben zu einer interdisziplinären Beratung über den aktuellen Gesundheitszustand mit Risikeinschätzung, Indikationsstellung und der Planung des weiteren Verlaufes/Vorgehens inkl. beteiligte Berufsgruppen/Facharztgruppen (z.B. Herzteam-Protokoll). Exkl.: Tumorkonferenzprotokoll"},{"code":"AD060108","display":"Anordnung/Verordnung","definition":"Die Dokumentation beinhaltet die Festlegung therapeutischer Maßnahmen. Inkl.: KBV Muster 63/64/65 (Verordnung spezialisierter ambulanter Palliativversorgung) Exkl.: Heil-/ Hilfsmittelverordnung, Rezept, Psychologische Therapieanordnung, Verordnung von Krankenhausbehandlung, Postoperative Verordnung, Bestrahlungsverordnung"},{"code":"AD060109","display":"Verordnung","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"AD060110","display":"Konsilbericht","definition":"Die Dokumentation beinhaltet die Zusammenfassung der Befundung, die Einschätzung und Empfehlung eines Facharztes oder Apothekers/Apothekerin für den weiteren Behandlungsverlauf. Inkl.: KBV Muster 22 (Konsiliarbericht vor Aufnahme einer Psychotherapie), Exkl. AMTS-Prüfbericht"},{"code":"AD060199","display":"Sonstige Fallbesprechung","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Angehörigengespräch/Patientengespräch/Entlassungsgespräch, Gesprächsnotiz, Sprechstundenprotokoll"}]}]},{"code":"AM","display":"Administration","concept":[{"code":"AM0101","display":"Abrechnungsdokumente","concept":[{"code":"AM010101","display":"Übersicht abrechnungsrelevanter Diagnosen / Prozeduren","definition":"Die Dokumentation beinhaltet alle Diagnosen und Leistungen im Rahmen einer Behandlung, welche die Grundlage zur Abrechnung beim jeweiligen Kostenträger bilden."},{"code":"AM010102","display":"G-AEP Kriterien","definition":"Die Dokumentation beinhaltet festgelegte Kriterien zur Feststellung der Notwendigkeit einer stationären Behandlung. Inkl.: Indikationsbogen zur Aufnahme"},{"code":"AM010103","display":"Kostenübernahmeverlängerung","definition":"Die Dokumentation beinhaltet die Bestätigung zur Kostenübernahme bei Weiterführung der Behandlung. Inkl.: Kostenübernahmeerklärung"},{"code":"AM010104","display":"Schriftverkehr MD Kasse","definition":"Die Dokumentation beinhaltet sämtliche Korrespondenz in Bezug auf MD relevante Fälle zwischen MD und Krankenkasse. Exkl.: MD Prüfauftrag, MD Gutachten, Schriftverkehr MD Arzt"},{"code":"AM010105","display":"Abrechnungsschein","definition":"Die Dokumentation beinhaltet Angaben, die als Nachweis über die erfolgte ambulante Behandlung und deren Abrechnung dient. Inkl.: KBV Muster 5 Exkl.: Notfall-/Vertretungsschein, Überweisungsschein"},{"code":"AM010106","display":"Rechnung ambulante/stationäre Behandlung","definition":"Die Dokumentation beinhaltet eine individuelle Kostenerstellung der erbrachten Leistungen an den jeweiligen Kostenträger."},{"code":"AM010107","display":"MD Prüfauftrag","definition":"Die Dokumentation beinhaltet die schriftliche Ankündigung zur Überprüfung eines abrechnungsrelevanten Sachverhaltes oder einer Leistungsgruppen/StrOPS-Prüfung durch den Medizinischen Dienst. Exkl.: Schriftverkehr MD Kasse, MD Gutachten, Schriftverkehr MD Arzt"},{"code":"AM010108","display":"MD Gutachten","definition":"Die Dokumentation beinhaltet das Ergebnis einer Begutachtung durch den Medizinischen Dienst, wie z. B. Einzelfallgutachten, Korrekturgutachten, Strukturgutachten, Grundsatzgutachten, Qualitätskontrollberichte."},{"code":"AM010109","display":"Begründete Unterlagen Leistungskodierung","definition":"Die Dokumentation beinhaltet Informationen aus anerkannten Referenzen, wie z. B. Kodierrichtlinien, FoKA, DGfM, SEG 4, FPV, Schlichtungsausschuss, Urteile zu Kodierfragen."},{"code":"AM010110","display":"Heil- und Kostenplan","definition":"Die Dokumentation beinhaltet Angaben, welche Behandlungen erfolgen sollen und wie hoch die voraussichtlichen Kosten sind. Inkl. KZBV Muster, gem. TI-Spezifikation"},{"code":"AM010111","display":"Kostenvoranschlag","definition":"Die Dokumentation beinhaltet Angaben, welche Behandlungen erfolgen sollen und wie hoch die voraussichtlichen Kosten sind."},{"code":"AM010199","display":"Sonstige Abrechnungsdokumentation","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Dokumentation erbrachte Leistungen (GOÄ), Einzahlungsquittung, Individual Checkliste, Liquidation, Zahlungsaufforderung, Checkliste Abrechnung, Entlassungsschein"}]},{"code":"AM0102","display":"Anträge","concept":[{"code":"AM010201","display":"Antrag auf Rehabilitation","definition":"Die Dokumentation beinhaltet eine Anfrage an den zuständigen Kostenträger für Maßnahmen zum Erhalt oder Verbesserung des Gesundheitszustandes. Inkl.: KBV Muster 25 (Anregung einer ambulanten Vorsorgeleistung in anerkannten Kurorten), Ärztlicher Befundbericht zum AHB Antrag"},{"code":"AM010202","display":"Antrag auf Betreuung","definition":"Die Dokumentation beinhaltet eine Anfrage auf eine gesetzliche Vormundschaft durch das Gericht."},{"code":"AM010203","display":"Antrag auf gesetzliche Unterbringung","definition":"Die Dokumentation beinhaltet eine Anfrage bei Gericht auf Unterbringung von Patienten*innen aller Altersgruppen in eine geschlossene Einrichtung durch einen Arzt, wenn freiheitsentziehende Maßnahmen erforderlich sind. Exkl.: Antrag auf Fixierung beim Amtsgericht"},{"code":"AM010204","display":"Verlängerungsantrag","definition":"Die Dokumentation beinhaltet eine Anfrage zur Übernahme der Kosten bei Weiterführung der Behandlung / Rehabilitation."},{"code":"AM010205","display":"Antrag auf Psychotherapie","definition":"Die Dokumentation beinhaltet eine Anfrage für eine gezielte professionelle Behandlung psychischer Störungen. Inkl.: KBV Muster PTV1/PTV2"},{"code":"AM010206","display":"Antrag auf Pflegeeinstufung","definition":"Die Dokumentation beinhaltet eine Anfrage an den MD zur Genehmigung eines Pflegegrades bei Pflegebedürftigkeit."},{"code":"AM010207","display":"Kostenübernahmeantrag","definition":"Die Dokumentation beinhaltet eine Anfrage zur Kostenübernahme für eine geplante Behandlung. Inkl.: KBV Muster 56"},{"code":"AM010208","display":"Antrag auf Leistungen der Pflegeversicherung","definition":"Die Dokumentation beinhaltet einen Antrag zur Inanspruchnahme von Leistungen, welche durch die Pflegeversicherung übernommen werden sollen. Beispiel: Pflegegeld, Pflegehilfsmittel, etc."},{"code":"AM010209","display":"Antrag auf Kurzzeitpflege","definition":"Die Dokumentation beinhaltet einen Antrag zur Inanspruchnahme einer begrenzten oder vollstationären Pflege einer pflegebedürftigen Person."},{"code":"AM010210","display":"Antrag auf Fixierung/Isolierung beim Amtsgericht","definition":"Die Dokumentation beinhaltet die Anfrage beim Gericht auf notwendige Fixierungs- oder Isolierungsmaßnahmen."},{"code":"AM010211","display":"Antrag abrechnungsrelevante OPS-Kodes","definition":"Die Dokumentation enthält den Antrag gemäß der Richtlinie des Medizinischen Dienstes Bund nach § 283 Absatz 2 Satz 1 Nr.3 SGBV zu den regelmäßigen Begutachtungen zur Einhaltung von Strukturmerkmalen von OPS-Kodes nach § 275d SGB V "},{"code":"AM010299","display":"Sonstiger Antrag","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Antrag auf Haushaltshilfe"}]},{"code":"AM0103","display":"Aufklärungen","concept":[{"code":"AM010301","display":"Anästhesieaufklärungsbogen","definition":"Die Dokumentation beinhaltet Angaben über die Aufklärung der geplanten Anästhesie. Inkl.: Anamnese, Begleitmedikation, geplanter Eingriff, Vitaldaten, Präoperative Visite"},{"code":"AM010302","display":"Diagnostischer Aufklärungsbogen","definition":"Die Dokumentation beinhaltet Angaben über die Aufklärung der geplanten Diagnostik, inklusive anamnestischer Erhebungen."},{"code":"AM010303","display":"Operationsaufklärungsbogen","definition":"Die Dokumentation beinhaltet Angaben über die Aufklärung der geplanten Operation, inklusive anamnestischer Erhebungen."},{"code":"AM010304","display":"Aufklärungsbogen Therapie","definition":"Die Dokumentation beinhaltet Angaben über die Aufklärung der geplanten Therapie, inklusive anamnestischer Erhebungen."},{"code":"AM010399","display":"Sonstiger Aufklärungsbogen","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Aufklärung - Zentralvenöser Katheter, Aufklärungsbogen - Geburtseinleitung, Aufklärung - Anwesenheit des Vaters/ einer Vertrauensperson bei der Entbindung, Aufklärung - Eigenblutspende einschließlich Eigenblutrückübertragung"}]},{"code":"AM0301","display":"Checklisten Administration","concept":[{"code":"AM030101","display":"Aktenlaufzettel","definition":"Die Dokumentation beinhaltet einen Nachweis über den aktuellen Verbleib sowie den Aktenlauf."},{"code":"AM030102","display":"Checkliste Entlassung","definition":"Die Dokumentation beinhaltet Angaben, ob die zur Entlassung notwendigen Dokumente/Gegenstände vollständig sind. Inkl.: Checkliste Entlassgespräch, Checkliste zur Verlegung"},{"code":"AM030103","display":"Entlassungsplan","definition":"Die Dokumentation beinhaltet Angaben zur Vorbereitung einer Entlassung nach stationärem Aufenthalt."},{"code":"AM030104","display":"Patientenlaufzettel","definition":"Die Dokumentation beinhaltet einen Nachweis über Terminvereinbarungen, durchgeführte Diagnostiken, Behandlungen o.ä. während des Aufenthaltes."},{"code":"AM030199","display":"Sonstige Checkliste Administration","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Aktendeckblatt, Aktencheckliste, Checkliste zur Archivierung der Krankengeschichte"}]},{"code":"AM0501","display":"Einwilligungen/Erklärungen","concept":[{"code":"AM050101","display":"Datenschutzerklärung","definition":"Die Dokumentation beinhaltet eine Erklärung zum Schutz von sensiblen Daten und deren Verwendung ."},{"code":"AM050102","display":"Einverständniserklärung","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"AM050103","display":"Erklärung Nichtansprechbarkeit Patienten","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"AM050104","display":"Einverständniserklärung Abrechnung","definition":"Die Dokumentation beinhaltet die schriftliche Erlaubnis, sensible Daten zu Abrechnungszwecken an Dritte weiterzugeben."},{"code":"AM050105","display":"Einverständniserklärung Behandlung","definition":"Die Dokumentation beinhaltet die schriftliche Erlaubnis um eine geplante Behandlung durchführen und dokumentieren zu können. Inkl.: Einwilligungserklärung Fotodokumentation, Einverständniserklärung Neugeborenenscreening, Einwilligung Apotheke (bspw. zur Herstellung von Arzneimitteln); Exkl.: Einwilligungen im Rahmen der medizinischen Aufklärung (Unterklasse Aufklärungen (AM0103))"},{"code":"AM050106","display":"Einwilligung und Datenschutzerklärung Entlassungsmanagement","definition":"Die Dokumentation beinhaltet ein bundeseinheitliches Formular zu Inhalten und Zielen des Entlassmanagement mit schriftlicher Einwilligung zur Datenübermittlung an die Krankenkasse mit Widerruf."},{"code":"AM050107","display":"Schweigepflichtentbindung","definition":"Die Dokumentation beinhaltet die schriftliche Einwilligung um medizinische Daten, die der ärztlichen Schweigepflicht unterliegen, an Dritte weitergeben zu dürfen."},{"code":"AM050108","display":"Entlassung gegen ärztlichen Rat","definition":"Die Dokumentation beinhaltet die schriftliche Einwilligung, die stationäre Behandlung vorzeitig gegen ärztlichen Rat abzubrechen."},{"code":"AM050109","display":"Aufforderung zur Herausgabe der medizinischen Dokumentation","definition":"Die Dokumentation beinhaltet eine Anweisung die Akte/Daten des Mandanten herauszugeben (Art. 15 DSGVO)."},{"code":"AM050110","display":"Aufforderung zur Löschung der medizinischen Dokumentation","definition":"Die Dokumentation beinhaltet eine Anweisung die Akte/Daten des Mandanten zu löschen (Art. 17 DSGVO)."},{"code":"AM050111","display":"Aufforderung zur Berichtigung der medizinischen Dokumentation","definition":"Die Dokumentation beinhaltet eine Anweisung die Akte/Daten des Mandanten zu berichtigen (Art. 16 DSGVO)."},{"code":"AM050199","display":"Sonstige Einwilligung/Erklärung","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Abtretungserklärung, Aushändigung der Explantate, Einwilligung zum Tragen des Patientenidentifikationsarmbandes, Patientenerklärung Europäische Krankenversicherung, Zustimmungserklärung. Exkl.: Einwilligungen im Rahmen der medizinischen Aufklärung (Unterklasse Aufklärungen (AM0103))"}]},{"code":"AM1601","display":"Patienteneigene Dokumente","concept":[{"code":"AM160101","display":"Blutgruppenausweis","definition":"Die Dokumentation beinhaltet Angaben zur Blutgruppe und zum Rhesusfaktor."},{"code":"AM160102","display":"Impfausweis","definition":"Die Dokumentation beinhaltet Angaben zu durchgeführten Impfungen mit Angaben zur Charge."},{"code":"AM160103","display":"Vorsorgevollmacht","definition":"Die Dokumentation beinhaltet die schriftliche Bevollmächtigung, bestimmte Interessen Dritter zu vertreten."},{"code":"AM160104","display":"Patientenverfügung","definition":"Die Dokumentation beinhaltet den vorsorglich festgehaltenen letzten Willen."},{"code":"AM160105","display":"Wertgegenständeverwaltung","definition":"Die Dokumentation beinhaltet eine Sachauflistung zu Gegenständen, die bei Aufnahme mit in die Einrichtung gebracht wurden. Inkl.: Nachweise über Ein- und Ausgang von Geld, Verlustmeldungen"},{"code":"AM160106","display":"Allergiepass","definition":"Die Dokumentation beinhaltet eine vollständige Auflistung zu bekannten Allergien in Form eines Ausweises."},{"code":"AM160107","display":"Herzschrittmacherausweis","definition":"Die Dokumentation beinhaltet Angaben zum implantierten Schrittmacher einer Person in Form eines Ausweises."},{"code":"AM160108","display":"Nachlassprotokoll","definition":"Die Dokumentation beinhaltet ein Übergabeprotokoll, mit dem aufgelisteten Nachlass."},{"code":"AM160109","display":"Mutterpass (Kopie)","definition":"Die Dokumentation beinhaltet Angaben in dem alle relevanten Daten zum Schwangerschaftsverlauf erfasst werden."},{"code":"AM160110","display":"Ausweiskopie","definition":"Die Dokumentation beinhaltet die Kopie eines Ausweisdokumentes. Exkl.: Herzschrittmacherausweis, Implantat-Ausweis"},{"code":"AM160111","display":"Implantat-Ausweis","definition":"Die Dokumentation beinhaltet Angaben zu Implantaten einer Person."},{"code":"AM160112","display":"Betreuerausweis","definition":"Die Dokumentation beinhaltet Angaben über einen gesetzlichen Vertreter einer Person."},{"code":"AM160113","display":"Patientenbild","definition":"Die Dokumentation beinhaltet Fotos von Patienten, welche aus administrativen Gründen angefertigt wurden. Für Fotografien, die im Zusammenhang mit der Behandlung stehen, sind die spezifischeren KDL-Kodes zu verwenden."},{"code":"AM160199","display":"Sonstiges patienteneigenes Dokument","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Ausweis Antikoagulanzienbehandlung, Urkunde (Notar), Zeugnis"}]},{"code":"AM1602","display":"Patienteninformationen","concept":[{"code":"AM160201","display":"Belehrung","definition":"Die Dokumentation beinhaltet eine Aufklärung bzw. Anweisung wie, wann und wo eine bestimmte Handlung bzw. ein Verhalten auszuführen ist. Exkl. Arzneimittelinformation"},{"code":"AM160202","display":"Informationsblatt","definition":"Die Dokumentation beinhaltet wichtige Hinweise, die für eine Behandlung oder stationären Aufenthalt notwendig sind. Inkl. KBV Muster PTV 10/11, Exkl. Arzneimittelinformation"},{"code":"AM160203","display":"Informationsblatt Entlassungsmanagement","definition":"Die Dokumentation beinhaltet Informationen, die den Patienten über die lückenlose Anschlussversorgung nach dem Krankenhausaufenthalt aufklären."},{"code":"AM160299","display":"Sonstiges Patienteninformationsblatt","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann."}]},{"code":"AM1603","display":"Poststationäre Verordnungen","concept":[{"code":"AM160301","display":"Heil- / Hilfsmittelverordnung","definition":"Die Dokumentation beinhaltet eine ärztliche Anweisung zur Durchführung von therapeutischen Behandlungen (Bsp. Physiotherapie, Ergotherapie, Logotherapie etc.) sowie die Verordnung von Hilfsmitteln zur therapeutischen Unterstützung (Bsp. Bandagen, Gehilfen, Prothesen etc.). Inkl.: KBV Muster 8 (Sehhilfenverordnung), 8a (Verordnung von vergrößernden Sehhilfen), 13 (Heilmittelverordnung Physikalische Th.), 14, 15 (Verordnung einer Hörhilfe), 18 (Verordnung Ergotherapie), 28 (Verordnung Soziotherapie)"},{"code":"AM160302","display":"Krankentransportschein","definition":"Die Dokumentation beinhaltet den Nachweis über durchgeführte oder geplante Krankenbeförderungen. Inkl.: KBV Muster 4 (Verordnung einer Krankenbeförderung), Anforderung eines Krankentransportes"},{"code":"AM160303","display":"Verordnung häusliche Krankenpflege","definition":"Die Dokumentation beinhaltet eine ärztliche Anweisung für die Krankenpflege zu Hause (KBV Muster 12)."},{"code":"AM160399","display":"Sonstige poststationäre Verordnung","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: KBV Muster 61, Verordnung von medizinischer Rehabilitation, Ärztliche Verordnung zur nachstationären Versorgung"}]},{"code":"AM1701","display":"Qualitätssicherungen","concept":[{"code":"AM170101","display":"Dokumentationsbogen Meldepflicht","definition":"Die Dokumentation beinhaltet meldepflichtigen Daten an Dritte. Inkl.: Infektionserkrankungen, Krankheitserreger, unerwünschte Ereignisse durch Medizinprodukte"},{"code":"AM170102","display":"Hygienestandard","definition":"Die Dokumentation beinhaltet eine festgelegte Leitlinie bezüglich der Durchführung von Hygienemaßnahmen zum Vermeiden von Gesundheitsschäden durch Erreger."},{"code":"AM170103","display":"Patientenfragebogen","definition":"Die Dokumentation beinhaltet Fragen bzgl. relevanter Informationen zur Verbesserung eines Behandlungsprozesses. Inkl.: Fragebogen Beckenboden präoperativ, Fragebogen zur Tagesschläfrigkeit, Patientenumfragen, Angehörigenfragebogen Exkl.: Fragebogen zur Anamneseerhebung (Anamnesebogen)"},{"code":"AM170104","display":"Pflegestandard","definition":"Die Dokumentation beinhaltet standardisierte Vorgaben zur Durchführung von Pflegemaßnahmen."},{"code":"AM170105","display":"Qualitätssicherungsbogen","definition":"Die Dokumentation beinhaltet gesetzlich vorgeschriebene Qualitätssicherungsverfahren. Inkl.: laut IQTIG"},{"code":"AM170199","display":"Sonstiges Qualitätssicherungsdokument","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Komplikationsbogen, Leitfäden, Nachbehandlungsschema, Leitlinien, Verfahrensanweisung. Exkl.: SOP im Kontext Klinische Studien"}]},{"code":"AM1901","display":"Schriftverkehr","concept":[{"code":"AM190101","display":"Anforderung Unterlagen","definition":"Die Dokumentation beinhaltet eine Anforderung von Unterlagen, die für den aktuellen Behandlungsverlauf relevant sind. Exkl.: Anforderung Unterlagen MD"},{"code":"AM190102","display":"Schriftverkehr Amtsgericht","definition":"Die Dokumentation beinhaltet sämtliche Korrespondenz zwischen medizinischer Einrichtung und Amtsgericht. Inkl.: Bestellungsurkunde, Betreuer, Beschluss"},{"code":"AM190103","display":"Schriftverkehr MD Arzt","definition":"Die Dokumentation beinhaltet sämtliche Korrespondenz zwischen Arzt und Medizinischen Dienst. Inkl. KBV Muster 11 (Bericht für den Medizinischen Dienst), Muster 86 (Weiterleitungsbogen für angeforderte Befunde an den MD)"},{"code":"AM190104","display":"Schriftverkehr Krankenkasse","definition":"Die Dokumentation beinhaltet sämtliche Korrespondenz zwischen medizinischer Einrichtung und Krankenkasse. Inkl.: KBV Muster 50/51, PTV4 Exkl.: Widerspruchsbegründung"},{"code":"AM190105","display":"Schriftverkehr Deutsche Rentenversicherung","definition":"Die Dokumentation beinhaltet sämtliche Korrespondenz zwischen medizinischer Einrichtung und der deutschen Rentenversicherung."},{"code":"AM190106","display":"Sendebericht","definition":"Die Dokumentation beinhaltet den Nachweis über das Versenden eines Fax."},{"code":"AM190107","display":"Empfangsbestätigung","definition":"Die Dokumentation beinhaltet einen Nachweis für den Empfang sowie über die Ausgabe von Dokumenten, Medikamenten, Hilfsmittel usw."},{"code":"AM190108","display":"Handschriftliche Notiz","definition":"Die Dokumentation beinhaltet ausschließlich handschriftliche Informationen auf einem formlosen Bogen."},{"code":"AM190109","display":"Lieferschein","definition":"Die Dokumentation beinhaltet Angaben über eine Lieferung."},{"code":"AM190110","display":"Schriftverkehr Amt/Gericht/Anwalt","definition":"Die Dokumentation beinhaltet sämtliche Korrespondenzen mit Ämtern, Gerichten oder Anwälten. Exkl.: Schriftverkehr Amtsgericht, Schriftverkehr Strafverfolgung und Schadensersatz"},{"code":"AM190111","display":"Schriftverkehr Strafverfolgung und Schadensersatz","definition":"Die Dokumentation beinhaltet sämtliche Korrespondenzen mit Ämtern und Behörden, die im Rahmen der Strafverfolgung, Fahndung oder Schadensersatz entsteht. Exkl.: Schriftverkehr Amt/Gericht/Anwalt, Schriftverkehr Amtsgericht"},{"code":"AM190112","display":"Anforderung Unterlagen MD","definition":"Die Dokumentation beinhaltet eine Liste mit den zur Prüfung der Abrechnung notwendigen Unterlagen in der Klassifikation nach IHE/KDL (gem. Abschnitt 6.2, Anlage 1,eVV) oder zur Leistungsgruppen/StrOPS-Prüfung durch den Medizinischen Dienst. Exkl.: Anforderung Unterlagen"},{"code":"AM190113","display":"Widerspruchsbegründung","definition":"Die Dokumentation beinhaltet den (medizinischen) Widerspruch gegen einen Leistungsentscheid. Exkl.: Ärztlicher Widerspruch im laufenden MD-Verfahren (Schriftkehr MD Arzt)"},{"code":"AM190114","display":"Schriftverkehr Unfallversicherungsträger und Leistungserbringer","definition":"Die Dokumentation beinhaltet sämtliche Korrespondenz zwischen medizinischer Einrichtung und dem Unfallversicherungsträger."},{"code":"AM190199","display":"Sonstiger Schriftverkehr","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: KBV Muster 53 (Anfrage zum Zusammenhang von Arbeitsunfähigkeitszeiten), Mitteilung Termin, Übersendung Unterlagen, Mitteilung Termin stationäre Aufnahme"}]},{"code":"AM1902","display":"Sozialdienst","concept":[{"code":"AM190201","display":"Beratungsbogen Sozialer Dienst","definition":"Die Dokumentation beinhaltet Angaben des Sozialdienstes zu empfohlenen Maßnahmen. Beinhaltet auch Notizen des Gesprächsverlaufes und festgelegte Vereinbarungen."},{"code":"AM190202","display":"Soziotherapeutischer Betreuungsplan","definition":"Die Dokumentation beinhaltet Angaben mit Therapiezielen, verordneten empfohlenen Maßnahmen usw., welche durch den Sozialen Dienst an die Krankenkasse weitergeleitet werden. Inkl.: Muster 27 (KBV)"},{"code":"AM190203","display":"Einschätzung Sozialdienst","definition":"Die Dokumentation beinhaltet eine Einschätzung eines Patienten durch den Sozialdienst."},{"code":"AM190204","display":"Abschlussbericht Sozialdienst","definition":"Die Dokumentation beinhaltet einen Bericht bzw. eine Zusammenfassung eines Patientenfalls bezüglich der nachstationären Betreuung oder weiteren Behandlung."},{"code":"AM190299","display":"Sonstiges Dokument Sozialdienst","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Anforderung Sozialdienst, Meldung an Sozialdienst, Verlaufsdokumentation Sozialdienst"}]},{"code":"AM2201","display":"Verträge","concept":[{"code":"AM220101","display":"Behandlungsvertrag","definition":"Die Dokumentation beinhaltet Angaben zum Umfang einer Behandlung und die damit verbundenen Rechte und Pflichten zwischen Einrichtung und Patient."},{"code":"AM220102","display":"Wahlleistungsvertrag","definition":"Die Dokumentation beinhaltet Angaben zu zusätzlich gewählten Leistungen, während einer Behandlung, zwischen Einrichtung und Patient."},{"code":"AM220103","display":"Heimvertrag","definition":"Die Dokumentation beinhaltet Angaben zum Vertrag zwischen einer Einrichtung und einem Bewohner."},{"code":"AM220104","display":"Angaben zur Vergütung von Mitarbeitenden","definition":"Die Dokumentation beinhaltet Namen und Vergütung der Mitarbeiter mit abgeschlossener Ausbildung, die zur Überwachung und/oder Behandlung von Patientinnen und Patienten eingesetzt werden."},{"code":"AM220199","display":"Sonstiger Vertrag","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Allgemeine Vertragsbedingungen, Individuelle Vereinbarungen"}]}]},{"code":"AU","display":"Aufnahme","concept":[{"code":"AU0101","display":"Aufnahmedokumente","concept":[{"code":"AU010101","display":"Anamnesebogen","definition":"Die Dokumentation beinhaltet medizinische, relevante Informationen zur Vorgeschichte. Inkl.: Krankengeschichte"},{"code":"AU010102","display":"Anmeldung Aufnahme","definition":"Die Dokumentation beinhaltet persönliche und organisatorische Angaben zur Aufnahme. Inkl. KBV Muster PTV12"},{"code":"AU010103","display":"Aufnahmebogen","definition":"Die Dokumentation beinhaltet den Befund des aktuellen Zustands bei Aufnahme und Informationen zur Vorgeschichte. Inkl.: Aufahmebefund, Aufnahmeblatt, Krankenblatt"},{"code":"AU010104","display":"Checkliste Aufnahme","definition":"Die Dokumentation beinhaltet Angaben über erforderliche medizinische, organisatorische Maßnahmen zum Aufnahmezeitpunkt. Erfolgte Durchführungen werden gekennzeichnet."},{"code":"AU010105","display":"Stammblatt","definition":"Die Dokumentation beinhaltet zusammengefasst administrative und persönliche Daten im Überblick."},{"code":"AU010199","display":"Sonstige Aufnahmedokumentation","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Aufnahmegespräch, Übersicht über bisherigen Behandlungverlauf, Aufnahme/Mitaufnahme Begleitperson Exkl.: Covid Fragebogen (Dokumentation COVID)"}]},{"code":"AU0501","display":"Einweisungs-/ Überweisungsdokumente","concept":[{"code":"AU050101","display":"Verordnung von Krankenhausbehandlung","definition":"Die Dokumentation beinhaltet Angaben zum Grund der stationären Aufnahme. Standardisiertes Einweisungsdokument gemäß Kassenärztliche Bundesvereinigung (KBV Muster 2)."},{"code":"AU050102","display":"Überweisungsschein","definition":"Die Dokumentation beinhaltet Angaben zur geplanten Behandlungsart, Fachabteilung, Diagnosen, Behandlungsauftrag, Vertragsarzt. Inkl.: standardisierter Überweisungsschein gem. Kassenärztliche Bundesvereinigung (KBV Muster 6 und 7), Überweisung D-Arzt. Exkl.: Abrechnungsschein, Notfall/Vertretungsschein"},{"code":"AU050103","display":"Überweisungsschein Entlassung","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"AU050104","display":"Verlegungsschein Intern","definition":"Die Dokumentation beinhaltet Angaben zur krankenhausinternen Verlegung auf eine andere Station oder einen Fachbereich. Exkl.: Verlegungsbericht, Ärztliche Stellungnahme"},{"code":"AU050199","display":"Sonstiges Einweisungs-/Überweisungsdokument","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden können. Inkl.: telefonische Überweisung, Patient Admission Form"}]},{"code":"AU1901","display":"Rettungsstelle","concept":[{"code":"AU190101","display":"Einsatzprotokoll","definition":"Die Dokumentation beinhaltet Angaben über den notarztspezifischen Einsatz. Inkl.: Rettungsstellenprotokoll, Nothilfeprotokoll"},{"code":"AU190102","display":"Notaufnahmebericht","definition":"Die Dokumentation beinhaltet den ärztlichen Bericht über die Behandlung in der Notaufnahme."},{"code":"AU190103","display":"Notaufnahmebogen","definition":"Die Dokumentation beinhaltet den Befund des aktuellen Zustands in der Notaufnahme (inkl. Triage)"},{"code":"AU190104","display":"Notfalldatensatz","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"AU190105","display":"ISAR Screening","definition":"Die Dokumentation beinhaltet Angaben für das Screening zur Ermittlung des geriatrischen Hilfebedarfs."},{"code":"AU190199","display":"Sonstige Dokumentation Rettungsstelle","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: ZNA Notfallschein, Checkliste Notfallambulanz"}]}]},{"code":"DG","display":"Diagnostik","concept":[{"code":"DG0201","display":"Bildgebende Diagnostiken","concept":[{"code":"DG020101","display":"Anforderung bildgebende Diagnostik","definition":"Die Dokumentation beinhaltet die Anforderung oder Anmeldung einer Diagnostik durch ärztliches Personal, bei der die Untersuchungsergebnisse bildlich dargestellt werden."},{"code":"DG020102","display":"Angiographiebefund","definition":"Die Dokumentation beinhaltet Ergebnisse einer speziellen radiologischen Untersuchung, bei der Arterien, Venen oder Lymphbahnen bildlich dargestellt und ausgewertet werden. Inkl.: Phlebographiebefund Exkl.: Herzkatheterprotokoll"},{"code":"DG020103","display":"CT-Befund","definition":"Die Dokumentation beinhaltet Ergebnisse einer speziellen radiologischen Untersuchung. Es entsteht ein mehrdimensionaler Querschnitt von Knochen und Weichteilen, welcher bildlich dargestellt und ausgewertet wird. Exkl.: PET-Befund"},{"code":"DG020104","display":"Echokardiographiebefund","definition":"Die Dokumentation beinhaltet Ergebnisse einer ultraschallgestützten Untersuchung der Struktur und Funktion des Herzens, welche bildlich dargestellt und ausgewertet werden."},{"code":"DG020105","display":"Endoskopiebefund","definition":"Die Dokumentation beinhaltet Ergebnisse einer Untersuchung bei der Körperhöhlen und Hohlorgane von innen bildlich dargestellt und ausgewertet werden."},{"code":"DG020106","display":"Herzkatheterprotokoll","definition":"Die Dokumentation beinhaltet Ergebnisse einer minimalinvasiven Untersuchung des Herzens, unter radiologischer Kontrolle, über einen speziellen Katheter. Exkl.: Angiographieprotokoll"},{"code":"DG020107","display":"MRT-Befund","definition":"Die Dokumentation beinhaltet Ergebnisse einer speziellen radiologischen Untersuchung, bei der Schnittbilder von Knochen und Weichteilen im menschlichen Körper, mit Hilfe von Magnetfeldern, bildlich dargestellt und ausgewertet werden."},{"code":"DG020108","display":"OCT-Befund","definition":"Die Dokumentation beinhaltet Ergebnisse einer tomographischen Untersuchung, bei der mehrdimensionale Aufnahmen des Auges bildlich dargestellt und ausgewertet werden. Exkl.: Augenuntersuchung"},{"code":"DG020109","display":"PET-Befund","definition":"Die Dokumentation beinhaltet Ergebnisse einer nuklearmedizinischen Untersuchung, welche zum größten Teil im Rahmen der Tumordiagnostik eingesetzt wird. Die Stoffwechselvorgänge im Gewebe werden bildlich dargestellt und ausgewertet. Es handelt sich um eine Positronen-Emissions-Tomographie. Exkl.: CT-Befund, SPECT-Befund, Szintigraphie"},{"code":"DG020110","display":"Röntgenbefund","definition":"Die Dokumentation beinhaltet Ergebnisse einer radiologischen Untersuchung bei der Körperstrukturen wie Knochen, Gefäße und innere Organe mit Hilfe eines Röntgen-Gerätes durchleuchtet, bildlich dargestellt und ausgewertet werden. Exkl.: Mammographie, Angiographiebefund"},{"code":"DG020111","display":"Sonographiebefund","definition":"Die Dokumentation beinhaltet Ergebnisse einer Untersuchung mittels Ultraschall, bei der organisches Gewebe bildlich dargestellt und ausgewertet werden. Exkl.: Echokardiographie, Inkl.: Doppler-, Duplexsonographie, Endosonographie"},{"code":"DG020112","display":"SPECT-Befund","definition":"Die Dokumentation beinhaltet Ergebnisse einer nuklearmedizinischen Untersuchung, welche zum größten Teil im Rahmen der Tumordiagnostik eingesetzt wird. Die Stoffwechselvorgänge im Gewebe werden grafisch dargestellt und ausgewertet. Es handelt sich um eine Einzelphotonen-Emissionscomputertomographie. Exkl.: CT-Befund, PET-Befund, Szintigraphie"},{"code":"DG020113","display":"Szintigraphiebefund","definition":"Die Dokumentation beinhaltet Ergebnisse einer nuklearmedizinischen Untersuchung, mittels Gabe einer radioaktiven Substanz, bei welcher Entzündungen oder Tumore in Organen und Knochen bildlich dargestellt und ausgewertet werden. Exkl.: PET-Befund, SPECT-Befund"},{"code":"DG020114","display":"Mammographiebefund","definition":"Die Dokumentation beinhaltet Ergebnisse einer radiologischen Untersuchung bei der mittels Röntgenstrahlen das Brustgewebe durchleuchtet, bildlich dargestellt und ausgewertet wird. Exkl.: Röntgenbefund"},{"code":"DG020115","display":"Checkliste bildgebende Diagnostik","definition":"Die Dokumentation beinhaltet Angaben über Voraussetzungen, den Ablauf oder erforderliche bildgebende Diagnostiken. Erfolgte Durchführungen werden gekennzeichnet."},{"code":"DG020199","display":"Sonstige Dokumentation bildgebende Diagnostik","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Kapillarmikroskopie"}]},{"code":"DG0601","display":"Funktionsdiagnostiken","concept":[{"code":"DG060101","display":"Anforderung Funktionsdiagnostik","definition":"Die Dokumentation beinhaltet die Anforderung oder Anmeldung von Diagnostiken ohne bildgebende Darstellung."},{"code":"DG060102","display":"Audiometriebefund","definition":"Die Dokumentation beinhaltet Ergebnisse über die Messung der Funktionalität des Gehörs."},{"code":"DG060103","display":"Befund evozierter Potentiale","definition":"Die Dokumentation beinhaltet Ergebnisse von neurophysiologischen Untersuchungen, bei der Veränderungen der elektrischen Aktivität von Nerven, Rückenmark oder Gehirn dargestellt und ausgewertet werden. z.B.: VEP, AEP, SEP"},{"code":"DG060104","display":"Blutdruckprotokoll","definition":"Die Dokumentation beinhaltet Ergebnisse von Messungen des arteriellen und venösen Drucks in den Blutgefäßen."},{"code":"DG060105","display":"CTG-Ausdruck","definition":"Die Dokumentation beinhaltet Ergebnisse von Messungen der Herztöne des ungeborenen Kindes sowie die Wehentätigkeit der Mutter."},{"code":"DG060106","display":"Dokumentationsbogen Feststellung Hirntod","definition":"Die Dokumentation beinhaltet Angaben zu den Voraussetzungen, den klinischen Symptomen und dem Irreversibillitätsnachweis zur Feststellung des Hirnfunktionsausfalls."},{"code":"DG060107","display":"Dokumentationsbogen Herzschrittmacherkontrolle","definition":"Die Dokumentation beinhaltet Ergebnisse einer Nachsorgeuntersuchung nach dem Einsetzen eines Herzschrittmacherimplantats."},{"code":"DG060108","display":"Dokumentationsbogen Lungenfunktionsprüfung","definition":"Die Dokumentation beinhaltet Ergebnisse einer Untersuchung zur Feststellung der Leistungsfähigkeit der Lunge. Inkl.: Bodyplethysmographie, Spirometrie"},{"code":"DG060109","display":"EEG-Auswertung","definition":"Die Dokumentation beinhaltet die Ergebnisse sowie die visuelle Darstellung der Aufzeichnung und Messung der elektrischen Ströme des Gehirns."},{"code":"DG060110","display":"EMG-Befund","definition":"Die Dokumentation beinhaltet die Ergebnisse sowie die visuelle Darstellung der Aufzeichnung und Messung der elektrischen Muskelaktivität."},{"code":"DG060111","display":"EKG-Auswertung","definition":"Die Dokumentation beinhaltet die Ergebnisse sowie die visuelle Darstellung der Aufzeichnung und Messung der elektrischen Aktivität des Herzens. Exkl.: Ergometriebefund, Belastungs-EKG"},{"code":"DG060112","display":"Manometriebefund","definition":"Die Dokumentation beinhaltet die Ergebnisse und die visuelle Darstellung einer physikalischen Druckmessung von Hohlorganen. Exkl.: Zystometrie, Rhinomanometrie"},{"code":"DG060113","display":"Messungsprotokoll Augeninnendruck","definition":"Die Dokumentation beinhaltet die Ergebnisse der Messung des Augeninnendrucks (Tonometrie) mittels Applationstonometer."},{"code":"DG060114","display":"Neurographiebefund","definition":"Die Dokumentation beinhaltet die Ergebnisse der Messung der Nervenleitgeschwindigkeit peripherer Nerven. Dazu zählen Nerven, die Muskeln versorgen sowie Nerven für Sinnesempfindungen."},{"code":"DG060115","display":"Rhinometriebefund","definition":"Die Dokumentation beinhaltet die Ergebnisse der Darstellung des Nasenquerschnittes um Engstellen zu lokalisieren und zu messen."},{"code":"DG060116","display":"Schlaflabordokumentationsbogen","definition":"Die Dokumentation beinhaltet die Ergebnisse und Auswertung des Schlafverhaltens."},{"code":"DG060117","display":"Schluckuntersuchung","definition":"Die Dokumentation beinhaltet die Ergebnisse einer Prüfung des Schluckverhaltens."},{"code":"DG060118","display":"Checkliste Funktionsdiagnostik","definition":"Die Dokumentation beinhaltet Angaben über Voraussetzungen, den Ablauf oder erforderliche funktionelle Diagnostiken. Erfolgte Durchführungen werden gekennzeichnet."},{"code":"DG060119","display":"Ergometriebefund","definition":"Die Dokumentation beinhaltet die Messergebnisse mittels EKG, wo unter körperlicher Belastung die Leistungsfähigkeit des Herz - Kreislaufsystem getestet wird. Inkl.: Spiroergometrie Exkl.: EKG-Auswertung Inkl.: Belastungs-EKG"},{"code":"DG060120","display":"Kipptischuntersuchung","definition":"Die Dokumentation beinhaltet die Ergebnisse eines medizinischen Verfahrens, dass zur Klärung von Synkopen dient, um die Veränderung von Blutdruck und Puls zu testen."},{"code":"DG060121","display":"Augenuntersuchung","definition":"Die Dokumentation beinhaltet die Ergebnisse von diversen Untersuchungen des Auges. Exkl.: OCT-Befund, Messungsprotokoll Augeninnendruck"},{"code":"DG060122","display":"Dokumentationsbogen ICD-Kontrolle","definition":"Die Dokumentation beinhaltet Ergebnisse einer Nachsorgeuntersuchung nach dem Einsetzen eines Defibrillators auf seine Funktion."},{"code":"DG060123","display":"Zystometrie","definition":"Die Dokumentation beinhaltet Ergebnisse einer Untersuchung, bei der Druck und Volumen der Harnblase gemessen wird."},{"code":"DG060124","display":"Uroflowmetrie","definition":"Die Dokumentation beinhaltet Ergebnisse einer urologischen Untersuchungsmethode, bei der eine Messung der Menge und Dauer des Harnflusses vorgenommen wird. Inkl.: Urodynamische Untersuchung"},{"code":"DG060199","display":"Sonstige Dokumentation Funktionsdiagnostik","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: PH Metrie, CNG-Analyse"}]},{"code":"DG0602","display":"Funktionstests","concept":[{"code":"DG060201","display":"Schellong Test","definition":"Die Dokumentation beinhaltet Messergebnisse von Herzfrequenz und Blutdruck nach dem Wechsel aus der liegenden Position in den Stand. Inkl.: Anforderung Schellong Test"},{"code":"DG060202","display":"H2 Atemtest","definition":"Die Dokumentation beinhaltet Ergebnisse einer Untersuchung der Atemgase zur Diagnostik von Magen-Darm Erkrankungen. Inkl.: Anforderung H2 Atemtest, C13 Atemtest"},{"code":"DG060203","display":"Allergietest","definition":"Die Dokumentation beinhaltet Ergebnisse eines Verfahrens, mit dem man natürliche Abwehrreaktionen des Körpers nachweisen kann. Inkl.: Anforderung Allergietest"},{"code":"DG060204","display":"Zahlenverbindungstest","definition":"Die Dokumentation beinhaltet Ergebnisse eines Tests auf kognitive Fähigkeiten beim Verbinden von Zahlen in einer bestimmten Reihenfolge. Dabei werden Dauer und Richtigkeit ausgewertet. Inkl.: Trail Making Test, Anforderung Zahlenverbindungstest"},{"code":"DG060205","display":"6-Minuten-Gehtest","definition":"Die Dokumentation beinhaltet Messwerte der Herzfrequenz, des Blutdrucks und der Sauerstoffversorgung des Blutes vor und nach dem Zurücklegen einer Strecke. Inkl.: Gehstreckentest, Anforderung 6-Minuten-Gehtest"},{"code":"DG060209","display":"Sonstige Funktionstests","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"DG060299","display":"Sonstiger Funktionstest","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Kopfimpulstest, Riechtest, Gehstreckentest"}]}]},{"code":"ED","display":"Elektronische Dokumentation","concept":[{"code":"ED0101","display":"Audiodokumentation","concept":[{"code":"ED010199","display":"Sonstige Audiodokumentation","definition":"Die Dokumentation beinhaltet ausschließlich Audiodokumentation."}]},{"code":"ED0201","display":"Bilddokumentation","concept":[{"code":"ED020101","display":"Fotodokumentation Operation","definition":"Die Dokumentation beinhaltet die digitale direkte Fotodokumentation, die ohne Medienbruch zwischen Anwendungssystemen übertragen werden - Schwerpunkt: Operation. Exkl. OP-Bilddokumentation, Fotodokumentation Wunden"},{"code":"ED020102","display":"Fotodokumentation Dermatologie","definition":"Die Dokumentation beinhaltet die digitale direkte Fotodokumentation, die ohne Medienbruch zwischen Anwendungssystemen übertragen werden - Schwerpunkt: Dermatologie. Exkl. Fotodokumentation Wunden, Fotodokumentation Dekubitus"},{"code":"ED020103","display":"Fotodokumentation Diagnostik","definition":"Die Dokumentation beinhaltet die digitale direkte Fotodokumentation, die ohne Medienbruch zwischen Anwendungssystemen übertragen wird - Schwerpunkt: Diagnostik"},{"code":"ED020104","display":"Videodokumentation Operation","definition":"Die Dokumentation beinhaltet die digitale direkte Videodokumentation - Schwerpunkt: Operation"},{"code":"ED020199","display":"Foto-/Videodokumentation Sonstige","definition":"Die Dokumentation beinhaltet die digitale direkte Foto- oder Videodokumentation, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Beispiel: Anforderung Fotolabor"}]},{"code":"ED1101","display":"KIS","concept":[{"code":"ED110101","display":"Behandlungspfad","definition":"Die Dokumentation beinhaltet den im KIS definierten Behandlungsablauf. Elektronische Dokumentation. Ggf. informativer Ausdruck in Papierkrankenakte."},{"code":"ED110102","display":"Notfalldatenmanagement (NFDM)","definition":"Die Dokumentation beinhaltet für den Notfall eine Übersicht über Vorerkrankungen, chronische Erkrankungen, Dauermedikation oder Allergien. Inkl.: Kontaktdaten behandelnde Ärzte, Angehörige, Persönliche Erklärungen - wie Patientenverfügung, Vorsorgevollmacht. Detailinformationen: gematik (2021): https://fachportal.gematik.de/anwendungen/notfalldatenmanagement. Zugegriffen: 18.02.2022"},{"code":"ED110103","display":"Medikationsplan elektronisch (eMP)","definition":"Der eMP enthält einen strukturierten Überblick darüber, welche Medikamente ein Versicherter aktuell einnimmt. Darüber hinaus enthält der eMP medikationsrelevante Informationen, die wichtig sind, um unerwünschte Wechselwirkungen zu vermeiden, bspw. zu Allergien. Exkl.: Medikamentenplan. Detailinformationen: gematik (2021): https://fachportal.gematik.de/anwendungen/elektronischer-medikationsplan. Zugegriffen: 18.02.2022"},{"code":"ED110104","display":"eArztbrief","definition":"Die Dokumentation beinhaltet die Zusammenfassung einer ambulanten ärztlichen, psychotherapeutischen Behandlung. Exkl. Arztberichte der Unterklasse AD0101 Detailinformationen: KBV (2022): https://www.kbv.de/html/earztbrief.php. Zugegriffen: 18.02.2022"},{"code":"ED110105","display":"eImpfpass","definition":"Die Dokumentation beinhaltet alle durchgeführten Impfungen. Detailinformationen: KBV (2022): https://mio.kbv.de/display/IM. Zugegriffen: 18.02.2022"},{"code":"ED110106","display":"eZahnärztliches Bonusheft","definition":"Die Dokumentation beeinhaltet Informationen zu zahnärztlichen Kontrolluntersuchungen. Detailinformationen: KBV (2021): https://mio.kbv.de/display/ZB. Zugegriffen: 18.02.2022"},{"code":"ED110107","display":"eArbeitsunfähigkeitsbescheinigung","definition":"Die Dokumentation beinhaltet Angaben über die Arbeitsunfähigkeit. Exkl.: Arbeitsunfähigkeitsbescheinigung (papierbasiert) Detailinformationen: KBV (2022): https://www.kbv.de/html/e-au.php. Zugegriffen: 18.02.2022"},{"code":"ED110108","display":"eRezept","definition":"Die Dokumentation beinhaltet die ärztliche Verordnung von Arznei- oder Heilmitteln. Das elektronische Rezept wird seit Mitte 2021 stufenweise eingeführt. Exkl.: Rezept (KBV Muster 16) Detailinformationen: gematik (2021): https://fachportal.gematik.de/anwendungen/elektronisches-rezept. Zugegriffen: 18.02.2022"},{"code":"ED110109","display":"Pflegebericht","definition":"Nicht mehr zu verwenden! Ab KDL-2024 nicht mehr gültig, da keine Unterscheidung zwischen papierbasierten und elektronischen Pflegeberichten erforderlich ist. Pflegeberichte sind mit der KDL VL160105 zu kodieren.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"ED110110","display":"eDMP","definition":"Die Dokumentation beeinhaltet den strukturierten Statusbericht der Behandlung chronisch Kranker (= Disease Management Program - DMP). Detailinformationen: KBV (2022): https://www.kbv.de/html/e-dmp.php. Zugegriffen: 18.02.2022"},{"code":"ED110111","display":"eMutterpass","definition":"Die Dokumentation beinhaltet die Ergebnisse der Vorsorgeuntersuchungen während der Schwangerschaft und nach der Entbindung. Exkl.: Mutterpass (Kopie) Detailinformationen: KBV (2021): https://mio.kbv.de/display/MP. Zugegriffen: 18.02.2022"},{"code":"ED110112","display":"KH-Entlassbrief","definition":"Die Dokumentation beinhaltet Informationen zum Anlass der Behandlung, zu diagnostischen und therapeutischen Maßnahmen. Die Informationen umfassen weiterhin den klinischen Verlauf, die Medikation sowie Angaben zu nachstationären Maßnahmen. Exkl: Arztberichte der Unterklasse AD0101. Hinweis: Spezifikation ist in Planung. Detailinformationen: KBV (2021): https://mio.kbv.de/display/khe. Zugegriffen: 18.02.2022"},{"code":"ED110113","display":"U-Heft Untersuchungen","definition":"Die Dokumentation beeinhaltet die Ergebnisse von Früherkennungsuntersuchungen bei Kindern. Es umfasst Informationen beginnend mit der Geburt bis zum Alter von etwa fünf Jahren. Inkl. MIO Perzentilkurven Detailinformationen: KBV (2021): https://mio.kbv.de/display/UH. Zugegriffen: 18.02.2022"},{"code":"ED110114","display":"U-Heft Teilnahmekarte","definition":"Die Dokumentation beinhaltet das Datum der U-Untersuchung, an der teilgenommen wurde. Es entspricht einer Verlaufsdokumentation und wird als Gesamtdokumente in der ePA visualisiert. Detailinformationen: KBV (2021): https://mio.kbv.de/pages/viewpage.action?pageId=99746571#id-2.Teilnahmekarte-Teilnahmekarte. Zugegriffen: 28.02.2022"},{"code":"ED110115","display":"U-Heft Elternnotiz","definition":"Die Dokumentation beinhaltet narrative Notizen der Eltern zum Verhalten ihres Kindes. Detailinformationen: KBV (2021): https://mio.kbv.de/display/UH1X0X1/1.8+Elternnotiz. Zugegriffen: 28.02.2022"},{"code":"ED110116","display":"Überleitungsbogen","definition":"Die Dokumentation beeinhaltet pflege- und versorgungsrelevante Informationen über zu pflegende Personen. Exkl: Pflegeüberleitungsbogen (papierbasiert) Detailinformationen: KBV (2022): https://mio.kbv.de/display/ULB. Zugegriffen: 18.02.2022"},{"code":"ED110199","display":"Sonstige Dokumentation KIS","definition":"Die Dokumentation beinhaltet alle elektronischen Daten und Dokumententypen die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann, jedoch elektronisch direkt ausgetauscht wird."}]},{"code":"ED1901","display":"Schriftverkehr elektronisch","concept":[{"code":"ED190101","display":"E-Mail Befundauskunft","definition":"Die Dokumentation beinhaltet den Informationsaustausch per E-Mail - direkt elektronisch oder ausgedruckt in Papierkrankenakte. Schwerpunkt: Befundergebnisse"},{"code":"ED190102","display":"E-Mail Juristische Beweissicherung","definition":"Die Dokumentation beinhaltet den Informationsaustausch per E-Mail - direkt elektronisch oder ausgedruckt in Papierkrankenakte. Schwerpunkt: Juristische Beweissicherung"},{"code":"ED190103","display":"E-Mail Arztauskunft","definition":"Die Dokumentation beinhaltet den Informationsaustausch per E-Mail - direkt elektronisch oder ausgedruckt in Papierkrankenakte. Schwerpunkt: Arztauskunft ohne Befundergebnisse"},{"code":"ED190104","display":"E-Mail Sonstige","definition":"Die Dokumentation beinhaltet den Informationsaustausch per E-Mail - direkt elektronisch oder ausgedruckt in Papierkrankenakte - die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann."},{"code":"ED190105","display":"Fax Befundauskunft","definition":"Die Dokumentation beinhaltet den Informationsaustausch per Fax - direkt elektronisch oder ausgedruckt in Papierkrankenakte. Inhaltlicher Schwerpunkt: Befundergebnisse"},{"code":"ED190106","display":"Fax Juristische Beweissicherung","definition":"Die Dokumentation beinhaltet den Informationsaustausch per Fax - direkt elektronisch oder ausgedruckt in Papierkrankenakte. Schwerpunkt: Juristische Beweissicherung"},{"code":"ED190107","display":"Fax Arztauskunft","definition":"Die Dokumentation beinhaltet den Informationsaustausch per Fax - direkt elektronisch oder ausgedruckt in Papierkrankenakte. Schwerpunkt: Arztauskunft ohne Befundergebnisse"},{"code":"ED190108","display":"Fax Sonstige","definition":"Die Dokumentation beinhaltet den Informationsaustausch per Fax - direkt elektronisch oder ausgedruckt in Papierkrankenakte - die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann."},{"code":"ED190199","display":"Sonstiger elektronischer Schriftverkehr","definition":"Die Dokumentation beinhaltet den rein elektronischen Schriftverkehr, der nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann."}]}]},{"code":"LB","display":"Labor","concept":[{"code":"LB0201","display":"Blut","concept":[{"code":"LB020101","display":"Blutgasanalyse","definition":"Die Dokumentation beinhaltet Ergebnisse zur Gasverteilung im Blut."},{"code":"LB020102","display":"Blutkulturenbefund","definition":"Die Dokumentation beinhaltet Ergebnisse einer mikrobiologischen Untersuchung des Blutes, um Erreger nachzuweisen oder auszuschließen. Exkl.: Mikrobiologiebefund, Urinbefund, Virologiebefund"},{"code":"LB020103","display":"Herstellungs- und Prüfprotokoll von Blut und Blutprodukten","definition":"Die Dokumentation beinhaltet Angaben im Rahmen der Herstellung von Blut und Blutprodukten. Mindestinhalte sind: Datum, verantwortliche Person, Art des Blutes bzw. Blutproduktes"},{"code":"LB020104","display":"Serologischer Befund","definition":"Die Dokumentation beinhaltet Ergebnisse einer Untersuchung, bei der das Blut auf Antigene und Antikörper getestet wird."},{"code":"LB020199","display":"Sonstige Dokumentation Blut","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Aphareseprotokoll, Plasmaphereseprotokoll, Photophereseprotokoll"}]},{"code":"LB1201","display":"Laborbefunde","concept":[{"code":"LB120101","display":"Glukosetoleranztestprotokoll","definition":"Die Dokumentation beinhaltet Ergebnisse, wie gut der Körper eine festgelegte Menge Zucker verarbeiten kann."},{"code":"LB120102","display":"Laborbefund extern","definition":"Die Dokumentation beinhaltet Ergebnisse von Untersuchungen verschiedenster Materialien durch ein Fremdlabor/Praxis. Inkl.: Kumulativbefund, Vorbefund. Exkl.: Mikrobiologiebefund, Serologischer Befund; Hinw.: Diese KDL-Dokumentenklasse wird ab 1. Januar 2026 obsolet. Die Abbildung ist ab sofort mit der KDL LB120107 (Laborbefund) möglich."},{"code":"LB120103","display":"Laborbefund intern","definition":"Die Dokumentation beinhaltet Ergebnisse von Untersuchungen verschiedenster Materialien durch ein hauseigenes Labor. Inkl.: Kumulativbefund, Vorbefund. Exkl.: Laborbefund extern, Mikrobiologiebefund, Serologischer Befund; Hinw.: Diese KDL-Dokumentenklasse wird ab 1. Januar 2026 obsolet. Die Abbildung ist ab sofort mit der KDL LB120107 (Laborbefund) möglich."},{"code":"LB120104","display":"Anforderung Labor","definition":"Die Dokumentation beinhaltet die Anforderung einer Diagnostik zur Untersuchungen verschiedenster Materialien durch ein Labor auf standardisiertem KBV Formular (10A). Exkl.: Histologieanforderung, Zytologieanforderung, Molekularpathologieanforderung, Überweisungsschein Labor"},{"code":"LB120105","display":"Überweisungsschein Labor","definition":"Die Dokumentation beinhaltet den Auftrag zur Befundung verschiedenster Materialien durch ein Labor auf standardisiertem KBV Formular (10). Exkl.: Anforderung Labor, Histologieanforderung, Zytologieanforderung, Molekularpathologieanforderung"},{"code":"LB120106","display":"Hämatologisches Speziallabor","definition":"Die Dokumentation beinhaltet Informationen zu spezieller hämatologischer Diagnostik, wie bspw. Zytologie, Durchflusszytometrie, Molekulare Diagnostik, Zytogenetik."},{"code":"LB120107","display":"Laborbefund","definition":"Die Dokumentation beinhaltet Ergebnisse von Untersuchungen verschiedenster Materialien."},{"code":"LB120199","display":"Sonstiger Laborbefund","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann."}]},{"code":"LB1301","display":"Mikrobiologie","concept":[{"code":"LB130101","display":"Mikrobiologiebefund","definition":"Die Dokumentation beinhaltet Ergebnisse der Untersuchung von Proben auf Bakterien, Pilze oder Viren und dessen Empfindlichkeit gegenüber Antiinfektiva. Exkl.: Urinbefund, Virologiebefund, Blutkulturenbefund"},{"code":"LB130102","display":"Urinbefund","definition":"Die Dokumentation beinhaltet Ergebnisse der Urin-Untersuchung, um Erkrankungen der Harnorgane und Stoffwechselstörungen festzustellen. Exkl.: Mikrobiologiebefund, Laborbefund intern/extern"}]},{"code":"LB2201","display":"Virologie","concept":[{"code":"LB220101","display":"Befund über positive Infektionsmarker","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"LB220102","display":"Virologiebefund","definition":"Die Dokumentation beinhaltet Ergebnisse aus der Bestimmung von Viren in Untersuchungsmaterialien. Exkl.: Mikrobiologiebefund, Blutkulturenbefund"}]}]},{"code":"OP","display":"Operation","concept":[{"code":"OP0101","display":"Anästhesie","concept":[{"code":"OP010101","display":"Intraoperative Anästhesiedokumentation","definition":"Die Dokumentation beinhaltet Angaben über die Schmerzausschaltung und Bewusstseinslage während eines Eingriffs, Operation. Exkl.: Aufwachraumprotokoll"},{"code":"OP010102","display":"Aufwachraumprotokoll","definition":"Die Dokumentation beinhaltet Angaben über die Aufwachphase nach einem Eingriff, Operation."},{"code":"OP010103","display":"Checkliste Anästhesie","definition":"Die Dokumentation beinhaltet Angaben über die Voraussetzungen für die Durchführung einer Anästhesie."},{"code":"OP010104","display":"Präoperative Anästhesiedokumentation","definition":"Die Dokumentation beinhaltet Angaben, die für die durchzuführende Anästhesie erforderlich sind. Dazu zählen bspw. Informationen zu Vorerkrankungen und Vormedikation, Anästhesiologische Untersuchungsbefunde, Allergien, Anästhesiologische Scores, Anordnungen Prämedikation. Inkl.: Präoperative Visite"},{"code":"OP010105","display":"Postoperative Anästhesiedokumentation","definition":"Die Dokumentation beinhaltet Angaben, die sich auf die postoperative anästhesiologische Betreuung beziehen. Inkl. Aufwachraumprotokoll. Hinw.: Erfolgt die Überwachung auf Normalstation, ist die KDL VL160110 (Überwachungsprotokoll) zu verwenden."},{"code":"OP010199","display":"Sonstige Anästhesiedokumentation","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Anästhesieausweis, Katheterprotokoll Anästhesie, PCEA Protokoll"}]},{"code":"OP1501","display":"OP-Dokumente","concept":[{"code":"OP150101","display":"Chargendokumentation","definition":"Die Dokumentation beinhaltet den Nachweis über verwendete Medizinprodukte und Arzneimittel während eines Eingriffes/Untersuchung. Exkl.: OP-Zählprotokoll"},{"code":"OP150102","display":"OP-Anmeldungsbogen","definition":"Die Dokumentation beinhaltet Angaben zur Anmeldung eines Patienten für einen operativen Eingriff."},{"code":"OP150103","display":"OP-Bericht","definition":"Die Dokumentation beinhaltet die Zusammenfassung des Operationsverlaufes durch den Arzt."},{"code":"OP150104","display":"OP-Bilddokumentation","definition":"Die Dokumentation beinhaltet ausschließlich die bildliche Dokumentation, die während eines operativen Eingriffes entstanden ist. Exkl. Fotodokumentation Wunden, Fotodokumentation Dekubitus"},{"code":"OP150105","display":"OP-Checkliste","definition":"Die Dokumentation beinhaltet Angaben über die Voraussetzungen und den Ablauf eines operativen Eingriffes."},{"code":"OP150106","display":"OP-Protokoll","definition":"Die Dokumentation beinhaltet zusätzliche Angaben im Rahmen einer Operation. Inhalte sind u. a. OP-Team, Schnitt-Naht-Zeit, Materialverbrauch."},{"code":"OP150107","display":"Postoperative Verordnung","definition":"Die Dokumentation beinhaltet Anweisungen für den weiteren Behandlungsverlauf nach einem operativen Eingriff."},{"code":"OP150108","display":"OP-Zählprotokoll","definition":"Die Dokumentation beinhaltet Angaben über die Vollzähligkeit des verwendeten Materials während einer Operation. Exkl.: Chargendokumentation"},{"code":"OP150109","display":"Dokumentation ambulantes Operieren","definition":"Die Dokumentation beinhaltet alle Formulare im Bereich des ambulanten Operierens, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann."},{"code":"OP150199","display":"Sonstige OP-Dokumentation","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Begleitschein für Explantate, OP Begleitzettel, OP Übergabeprotokoll, OP Vorbereitungsbogen, HLM Protokoll"}]},{"code":"OP2001","display":"Transplantationsdokumente","concept":[{"code":"OP200101","display":"Transplantationsprotokoll","definition":"Die Dokumentation beinhaltet Nachweise über die Transplantation von Gewebe, Organen oder Körperteilen."},{"code":"OP200102","display":"Spenderdokument","definition":"Die Dokumentation beinhaltet alle relevanten Angaben zum Spender für eine Transplantation. Exkl.: Blutspendeprotokoll"},{"code":"OP200199","display":"Sonstige Transplantationsdokumentation","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Anmeldung zur Transplantation, Transplantationsbegleitschein, Checkliste Transplantation"}]}]},{"code":"PT","display":"Pathologie","concept":[{"code":"PT0801","display":"Histopathologie","concept":[{"code":"PT080101","display":"Histologieanforderung","definition":"Die Dokumentation beinhaltet die Anforderung einer Untersuchung zur Bestimmung von Veränderungen anhand von Gewebeproben. Inkl.: Obduktionsantrag Exkl.: Laboranforderung, Zytologieanforderung, Molekularpathologieanforderung"},{"code":"PT080102","display":"Histologiebefund","definition":"Die Dokumentation beinhaltet Ergebnisse einer Untersuchung zur Bestimmung von Veränderungen anhand von Gewebeproben."}]},{"code":"PT1301","display":"Molekularpathologie","concept":[{"code":"PT130101","display":"Molekularpathologieanforderung","definition":"Die Dokumentation beinhaltet die Anforderung einer Untersuchung zur Bestimmung von Veränderungen der Erbinformation. Exkl.: Histologieanforderung, Anforderung Labor, Zytologieanforderung"},{"code":"PT130102","display":"Molekularpathologiebefund","definition":"Die Dokumentation beinhaltet Ergebnisse einer Untersuchung der Erbinformationen auf Veränderungen. Inkl.: Zytogenetikbefund"}]},{"code":"PT2301","display":"Weitere Pathologiedokumentation","concept":[{"code":"PT230199","display":"Sonstige pathologische Dokumentation","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL der Unterklassen PT0801, PT1301, PT2601 abgebildet werden kann."}]},{"code":"PT2601","display":"Zytopathologie","concept":[{"code":"PT260101","display":"Zytologieanforderung","definition":"Die Dokumentation beinhaltet die Anforderung einer Untersuchung zur Bestimmung von Veränderungen anhand von Zellproben. Exkl.: Histologieanforderung, Laboranforderung, Molekularpathologieanforderung"},{"code":"PT260102","display":"Zytologiebefund","definition":"Die Dokumentation beinhaltet Ergebnisse einer Untersuchung zur Bestimmung von Veränderungen anhand von Zellproben."}]}]},{"code":"SD","display":"Spezielle Dokumentation","concept":[{"code":"SD0701","display":"Geburtendokumente","concept":[{"code":"SD070101","display":"Geburtenbericht","definition":"Die Dokumentation beinhaltet Angaben zum Ablauf der Entbindung und unmittelbar danach, mit Angaben zur Mutter und zum Kind. Die Erfassung erfolgt nicht standardisiert als Freitext. Inkl.: Geburtenprotokoll"},{"code":"SD070102","display":"Geburtenprotokoll","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"SD070103","display":"Geburtenverlaufskurve","definition":"Die Dokumentation beinhaltet Angaben über den Zeitraum der Entbindung. Vitalzeichen werden als Kurve dargestellt. Exkl.: Pflegekurve, Säuglingskurve"},{"code":"SD070104","display":"Neugeborenenscreening","definition":"Die Dokumentation beinhaltet Untersuchungen vom Neugeborenen. Dazu gehören neben Laboruntersuchungen von Stoffwechselerkrankungen auch Hörtest und Sonographie der Hüften. Inkl.: Apgar"},{"code":"SD070105","display":"Partogramm","definition":"Die Dokumentation beinhaltet die graphische Darstellung zur Geburtensituation und der Eröffnung des Muttermundes bei Entbindung."},{"code":"SD070106","display":"Wiegekarte","definition":"Die Dokumentation beinhaltet die Kontrolle des Geburts- und Verlaufsgewichtes im 1. Lebensjahr."},{"code":"SD070107","display":"Neugeborenendokumentationsbogen","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"SD070108","display":"Säuglingskurve","definition":"Die Dokumentation beinhaltet Angaben zur Erfassung von Vitalzeichen, Trinkverhalten, Laborwerten und Pflegemaßnahmen des Säuglings/Neugeborenen. Vitalzeichen werden als Kurve dargestellt. Exkl.: Pflegekurve, Intensivkurve, Inkl.: Neugeborenendokumentationsbogen"},{"code":"SD070109","display":"Geburtenbogen","definition":"Die Dokumentation beinhaltet standardisierte Angaben, die im Rahmen einer Entbindung erhoben werden. Exkl.: Geburtenverlaufskurve, Geburtenbericht"},{"code":"SD070110","display":"Perzentilkurve","definition":"Die Dokumentation beinhaltet Angaben zum Verlauf von Gewicht, Länge und Kopfumfang. Exkl.: Messblatt"},{"code":"SD070111","display":"Entnahme Nabelschnurblut","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"SD070112","display":"Datenblatt für den Pädiater","definition":"Die Dokumentation beinhaltet klinische sowie administrative Angaben des Neugeborenen wie Geburtenbuch Nr., Geburtsdauer, Geburtsgewicht, Apgar und Angaben zu Vater und Mutter. Die Daten werden auf einem standardisierten Formular erfasst. Exkl.: Geburtenbogen"},{"code":"SD070199","display":"Sonstige Geburtendokumentation","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.:Dokumentationsbogen Schulterdystokie, Geburtsplanung, Still- /Ernährungsprotokoll, Entnahme Nabelschnurblut"}]},{"code":"SD0702","display":"Geriatrische Dokumente","concept":[{"code":"SD070201","display":"Barthel Index","definition":"Die Dokumentation beinhaltet Angaben zur Ermittlung der eventuell benötigten Hilfestellung im Alltag. Die Auswertung erfolgt durch ein Punktesystem."},{"code":"SD070202","display":"Dem Tect","definition":"Die Dokumentation beinhaltet Angaben zur Untersuchung von kognitiven Fähigkeiten, zur Früherkennung von Demenz. Die Auswertung erfolgt durch ein Punktesystem."},{"code":"SD070203","display":"ISAR Screening","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"SD070204","display":"Sturzrisikoerfassungsbogen","definition":"Die Dokumentation beinhaltet Angaben zur Ermittlung der Sturzgefahr und Festlegung vorbeugender Maßnahmen. Die Auswertung erfolgt durch ein Punktesystem. Exkl.: Mobilitätstest nach Tinetti"},{"code":"SD070205","display":"Geriatrische Depressionsskala","definition":"Die Dokumentation beinhaltet Fragen, um Hinweise auf eine evtl. vorhandene Altersdepression zu ermitteln. Die Auswertung erfolgt durch ein Punktesystem. Exkl.: Dokumentation Depression"},{"code":"SD070206","display":"Geriatrische Assessmentdokumentation","definition":"Die Dokumentation beinhaltet Angaben zur Erfassung von erhaltenen Funktionen sowie Problemen im Alter. Exkl.: Barthel-Index, Tinetti-Test, GDS, Dem Tect, Uhrentest"},{"code":"SD070207","display":"Mobilitätstest nach Tinetti","definition":"Die Dokumentation beinhaltet Angaben zur Messung des Sturzrisikos im Alter, nach festen Kriterien. Bewertet werden Gleichgewichtssinn und Gangbild. Die Auswertung erfolgt durch ein Punktesystem. Exkl.: Sturzrisikoerfassungsbogen"},{"code":"SD070208","display":"Timed Up and Go Test","definition":"Die Dokumentation beinhaltet die Erhebung und/oder die Beurteilung der Fortbeweglichkeit in einem bestimmten Zeitraum. Exkl.: Sturzrisikoerfassung, Mobilitätstest nach Tinetti"},{"code":"SD070299","display":"Sonstiges geriatrisches Dokument","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Geriatrisches Screening"}]},{"code":"SD1101","display":"Komplexbehandlungen","concept":[{"code":"SD110101","display":"Geriatrische Komplexbehandlungsdokumentation","definition":"Die Dokumentation beinhaltet eine ganzheitliche interdisziplinäre geriatrische Beurteilung mit Festlegung von Maßnahmen im Behandlungsverlauf. Exkl.: Teambesprechungsprotokoll"},{"code":"SD110102","display":"Intensivmedizinische Komplexbehandlungsdokumentation","definition":"Die Dokumentation beinhaltet alle Angaben zu intensivmedizinischen Scores (bspw. TISS10 und SAPS II)."},{"code":"SD110103","display":"MRE/Nicht-MRE Komplexbehandlung","definition":"Die Dokumentation beinhaltet Angaben über den Mehraufwand bei einer Infektion durch multiresistente Keime. Exkl.: Teambespechungsprotokoll, Isolationsprotokoll"},{"code":"SD110104","display":"Neurologische Komplexbehandlungsdokumentation","definition":"Die Dokumentation beinhaltet Angaben über eine mindestens 24-stündige Behandlung auf einer Stroke Unit Station, unter Gewährleistung von ständiger Anwesenheit eines Neurologen, zur kontinuierlichen Betreuung und Überwachung. Inkl.: Stroke Unit Dokumentation"},{"code":"SD110105","display":"Palliativmedizinische Komplexbehandlungsdokumentation","definition":"Die Dokumentation beinhaltet standardisierte Angaben zu Symptom -und Schmerzlinderung bei geringer Lebenserwartung durch eine unheilbare Krankheit. Dies erfolgt unter Beteiligung unterschiedlicher ärztlicher und therapeutischer Fachbereiche. Inkl.: Palliativmedizinisches Basisassessment, Exkl.: Teambesprechungsprotokoll"},{"code":"SD110106","display":"PKMS-Dokumentation","definition":"Die Dokumentation beinhaltet Angaben zur Abbildung hochaufwendiger Pflegemaßnahmen in definierten Leistungsbereichen (Standardisierter Pflegekomplexmaßnahmenscore). Exkl.: Teambesprechungsprotokoll"},{"code":"SD110107","display":"Dokumentation COVID","definition":"Die Dokumentation beinhaltet Angaben über den Mehraufwand bei einer Infektion durch ein COVID-Virus. Stehen für diagnostische und/oder therapeutische Maßnahmen im Rahmen der COVID-Behandlung spezifischere KDL-Kodes zur Verfügung, sind diese zu verwenden. Inkl.: Long COVID Dokumentation, Exkl.: Dokumentation Meldepflicht"},{"code":"SD110199","display":"Sonstige Komplexbehandlungsdokumentation","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Multimodale Komplexbehandlung bei Diabetes mellitus, Rheumatologische Komplexbehandlung, Parkinson Komplexbehandlung Exkl.: Teambesprechungsprotokoll"}]},{"code":"SD1301","display":"Maßregelvollzug","concept":[{"code":"SD130101","display":"Vertrag Maßregelvollzug","definition":"Die Dokumentation beinhaltet Verträge im Rahmen des Maßregelvollzuges. Inkl.: Darlehnsvertrag Exkl.: Behandlungsvertrag, Wahlleistungsvertrag, Heimvertrag"},{"code":"SD130102","display":"Antrag Maßregelvollzug","definition":"Die Dokumentation beinhaltet Anträge im Rahmen des Maßregelvollzuges. Exkl.: Antrag auf Rehabilitation, Antrag auf Betreuung, Antrag auf gesetzliche Unterbringung, Verlängerungsantrag, Antrag auf Psychotherapie, Antrag auf Pflegeeinstufung, Kostenübernahmeantrag, Antrag auf Leistungen der Pflegeversicherung"},{"code":"SD130103","display":"Schriftverkehr Maßregelvollzug","definition":"Die Dokumentation beinhaltet sämtliche Korrespondenzen im Rahmen des Maßregelvollzuges. Exkl.: Schriftverkehr Amtsgericht, Schriftverkehr MDK Arzt, Schriftverkehr Krankenkasse, Schriftverkehr Deutsche Rentenversicherung, Schriftverkehr MDK Kasse"},{"code":"SD130104","display":"Einwilligung/Einverständniserklärung Maßregelvollzug","definition":"Die Dokumentation beinhaltet Einwilligungen und Einverständniserklärungen im Rahmen des Maßregelvollzuges. Exkl.: Schweigepflichtentbindung, Datenschutzerklärung, Einverständniserklärung Abrechnung, Einverständniserklärung Behandlung"},{"code":"SD130199","display":"Sonstiges Maßregelvollzugdokument","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann."}]},{"code":"SD1501","display":"Onkologische Dokumente","concept":[{"code":"SD150101","display":"Follow up-Bogen","definition":"Die Dokumentation beinhaltet Angaben im Rahmen der Nachsorge zur Erfassung der Verlaufskontrolle nach Abschluss der Behandlung."},{"code":"SD150102","display":"Meldebogen Krebsregister","definition":"Die Dokumentation beinhaltet Angaben zur Meldung von Krebserkrankungen an das Krebsregister."},{"code":"SD150103","display":"Tumorkonferenzprotokoll","definition":"Die Dokumentation beinhaltet Ergebnisse des Zusammentreffens von verschiedenen Fachärzten, über die Beratung der weiteren Behandlung von Tumorerkrankungen."},{"code":"SD150104","display":"Tumorlokalisationsbogen","definition":"Die Dokumentation beinhaltet Angaben zur Erfassung der Tumorposition - überwiegend manuelle Skizze."},{"code":"SD150199","display":"Sonstiger onkologischer Dokumentationsbogen","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Checkliste für Tumorpatienten, Psychoonkologische Basisdokumentation, Tumorverlaufsblatt"}]},{"code":"SD1601","display":"Dokumente Psychiatrie - Psychotherapie","concept":[{"code":"SD160101","display":"Patientenaufzeichnungen","definition":"Die Dokumentation beinhaltet eine persönliche, schriftliche Schilderung von Erlebnissen zur Therapieunterstützung."},{"code":"SD160102","display":"Testpsychologische Diagnostik","definition":"Die Dokumentation beinhaltet Angaben zur Feststellung einer (neuro-)psychischen Erkrankung sowie deren Schweregrad. Die Auswertung erfolgt durch ein Punktesystem."},{"code":"SD160103","display":"Psychiatrisch-psychotherapeutische Therapieanordnung","definition":"Die Dokumentation beinhaltet eine therapeutische Anordnung durch den Arzt zur Behandlung einer psychischen Erkrankung. Inkl.: Therapiepass, Therapieplanung"},{"code":"SD160104","display":"Psychiatrisch-psychotherapeutische Therapiedokumentation","definition":"Die Dokumentation beinhaltet Gesprächsinhalte, die im Rahmen einer psychiatrisch-psychotherapeutischen Therapiesitzung aufgekommen sind."},{"code":"SD160105","display":"Psychiatrisch-psychotherapeutischer Verlaufsbogen","definition":"Die Dokumentation beinhaltet Angaben über den Verlauf der psychiatrisch-psychotherapeutischen Behandlung, gekennzeichnet durch Einträge zu verschiedenen Zeitpunkten. Inkl.: Komplexbehandlungsbogen Psych, Exkl.: Spezialtherapeutische Verlaufsdokumentation, Dokumentation Verhaltensanalyse"},{"code":"SD160106","display":"Spezialtherapeutische Verlaufsdokumentation","definition":"Die Dokumentation beinhaltet Angaben zur Planung, Zielsetzung, Durchführung und freitextlichen Verlauf der spezialtherapeutischen Behandlungen. Inkl.: Musiktherapie, Kunsttherapie, Arbeitstherapie, Tanztherapie, Exkl.: Ergotherapie, Logopädie, Physiotherapie"},{"code":"SD160107","display":"Therapieeinheiten Ärzte/Psychologen/Spezialtherapeuten","definition":"Die Dokumentation beinhaltet den Nachweis zur Durchführung der psychiatrisch-psychotherapeutischen Behandlungen (z. B. Gesprächstherapie) einschließlich Zeitangaben (u. a. Musiktherapie)."},{"code":"SD160108","display":"1:1 Betreuung/Einzelbetreuung/Psychiatrische Intensivbehandlung","definition":"Die Dokumentation beinhaltet die Nachweise über die Indikationsstellung, ärztliche und pflegerische Durchführung bei der 1:1-Betreuung, Einzel-/Gruppenbetreuung und Merkmale der Intensivbehandlung (z.B. Sicherungsmaßnahmen). Hinweis: Ergänzende Tagesentgelte, Exkl.: Fixierungsprotokoll"},{"code":"SD160109","display":"Checkliste für die Unterbringung psychisch Kranker","definition":"Die Dokumentation beinhaltet die Prüfung der Einhaltung von Anforderungen im Rahmen PsychKG."},{"code":"SD160110","display":"Dokumentation Verhaltensanalyse","definition":"Die Dokumentation beinhaltet die Planung, Durchführung und Auswertung von Verhaltensanalysen im Rahmen psychiatrisch-psychotherapeutischen Behandlung."},{"code":"SD160111","display":"Dokumentation Depression","definition":"Die Dokumentation beinhaltet die diagnostischen Fragenstellungen, die Einschätzung des Schweregrades im Rahmen psychiatrisch-psychotherapeutischer Behandlung. Inkl.: BDI, Goldberg, Früherkennung, Exkl.: Dem Tect, Geriatrische Depressionsskala"},{"code":"SD160112","display":"Dokumentation Stationsäquivalente Behandlung (StäB)","definition":"Die Dokumentation beinhaltet Nachweise für die Anforderungen entsprechend der Vereinbarung nach § 115d Absatz 2 SGB V Stationsäquivalente psychiatrische Behandlung. Inkl.: Häusliche Situation, Häusliche Behandlungsbedingungen, Eltern-Kind-Behandlung, Darlegung beteiligter Berufsgruppen mit Qualifikation, fachärztliche Behandlungsanleitung inkl. Qualifikation, Spezialdokumentation Patientenkontakt. Exkl.: Dokumentation aus spezifischeren Dokumentenklassen - wie bspw. Entlassungsbericht, Konsilbericht, Aufnahmbefund, Anamnesebogen, Therapieplan, Verlaufsdokumentation, Visitenprotokoll, Teambesprechungsprotokoll, diagnostische/therapeutische (Fremd-)Leistungen"},{"code":"SD160199","display":"Sonstiges psychiatrisch-psychotherapeutisches Dokument","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Psychischer Untersuchungsbefund, Psychopathologischer Befund"}]}]},{"code":"SF","display":"Studien/Forschung","concept":[{"code":"SF0601","display":"Forschungsdokumente","concept":[{"code":"SF060101","display":"Forschungsbericht","definition":"Die Dokumentation beinhaltet Angaben zu allen Forschungsvorhaben in einem Zeitraum, die in einer Einrichtung durchgeführt wurden."},{"code":"SF060199","display":"Sonstige Forschungsdokumentation","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann."}]},{"code":"SF1901","display":"Studiendokumente","concept":[{"code":"SF190101","display":"CRF-Bogen","definition":"Die Dokumentation beinhaltet Erhebungen für Klinische Studien. Diese sind inhaltlich unterschiedlich und abhängig von der Fragestellung der durchzuführenden Studie."},{"code":"SF190102","display":"Einwilligung Studie","definition":"Die Dokumentation beinhaltet die unterzeichnete Einwilligungserklärung zur Teilnahme an einer Studie."},{"code":"SF190103","display":"Protokoll Ein- und Ausschlusskriterien","definition":"Die Dokumentation beinhaltet präzise Kriterien, die eine Teilnahme an einer Studie ermöglichen oder ausschließen."},{"code":"SF190104","display":"Prüfplan","definition":"Die Dokumentation beinhaltet die Beschreibung und Festlegung der wichtigsten Merkmale des Forschungsvorhabens."},{"code":"SF190105","display":"SOP-Bogen","definition":"Die Dokumentation beinhaltet Arbeitsanweisungen zur Sicherstellung einheitlicher Arbeitsabläufe im Rahmen des Forschungsvorhabens."},{"code":"SF190106","display":"Studienbericht","definition":"Die Dokumentation beinhaltet die Veröffentlichung einer durchgeführten Studie."},{"code":"SF190199","display":"Sonstige Studiendokumentation","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann."}]}]},{"code":"TH","display":"Therapie","concept":[{"code":"TH0201","display":"Bestrahlungstherapien","concept":[{"code":"TH020101","display":"Bestrahlungsplan","definition":"Die Dokumentation beinhaltet die individuelle Planung einer Bestrahlungstherapie mit Angaben über Lokalisation, Zeitraum und Dosis."},{"code":"TH020102","display":"Bestrahlungsprotokoll","definition":"Die Dokumentation beinhaltet den Nachweis über die Durchführung einer Bestrahlungstherapie und die Dosisleistung."},{"code":"TH020103","display":"Bestrahlungsverordnung","definition":"Die Dokumentation beinhaltet die Anweisung einer Bestrahlungstherapie zur Behandlung."},{"code":"TH020104","display":"Radiojodtherapieprotokoll","definition":"Die Dokumentation beinhaltet den Nachweis der nuklearmedizinischen Therapie zur Behandlung von Schilddrüsenerkrankungen. Inkl.: Radiojodtest Exkl.: Therapieprotokoll mit Radionukliden"},{"code":"TH020105","display":"Therapieprotokoll mit Radionukliden","definition":"Die Dokumentation beinhaltet den Nachweis der nuklearmedizinischen Behandlung, bei der Patienten radioaktive Substanzen verabreicht bekommen. Exkl.: Radiojodtherapie"},{"code":"TH020199","display":"Sonstiges Bestrahlungstherapieprotokoll","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Anmeldung zur Strahlentherapie, Verlaufsbericht Strahlentherapie"}]},{"code":"TH0601","display":"Funktionstherapien","concept":[{"code":"TH060101","display":"Ergotherapieprotokoll","definition":"Die Dokumentation beinhaltet Angaben zur Planung, Zielsetzung und Durchführung der ergotherapeutischen Behandlung. Inkl.: Abschlussbericht, Exkl.: Anforderung Funktionstherapie"},{"code":"TH060102","display":"Logopädieprotokoll","definition":"Die Dokumentation beinhaltet Angaben zur Planung, Zielsetzung und Durchführung der logopädischen Behandlung. Inkl.: Abschlussbericht, Exkl.: Anforderung Funktionstherapie"},{"code":"TH060103","display":"Physiotherapieprotokoll","definition":"Die Dokumentation beinhaltet Angaben zur Planung, Zielsetzung und Durchführung der physiotherapeutischen Behandlung. Inkl.: Abschlussbericht, Exkl.: Anforderung Funktionstherapie"},{"code":"TH060104","display":"Anforderung Funktionstherapie","definition":"Die Dokumentation beinhaltet die Anforderung bzw. Anmeldung einer therapeutischen Behandlung."},{"code":"TH060105","display":"Elektrokonvulsionstherapie","definition":"Die Dokumentation beinhaltet die fachärztliche Indikationsstellung, Durchführungs- und Überwachungsnachweise. Exkl.: Aufklärung (siehe Aufklärungsbogen Therapie)"},{"code":"TH060106","display":"Transkranielle Magnetstimulation","definition":"Die Dokumentation beinhaltet die fachärztliche Indikationsstellung, Durchführungs- und Überwachungsnachweise. Exkl.: Aufklärung"},{"code":"TH060199","display":"Sonstiges Funktionstherapieprotokoll","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Fototherapie, Hypothermiebogen, Reittherapie. Exkl.: Spezialtherapeutische Verlaufsdokumentation"}]},{"code":"TH1301","display":"Medikamentöse Therapien","concept":[{"code":"TH130101","display":"Anforderung Medikation","definition":"Die Dokumentation beinhaltet die Anforderung von Arzneimitteln an eine dafür zuständige Ausgabestelle."},{"code":"TH130102","display":"Arzneiadministration","definition":"Die Dokumentation beinhaltet Angaben zu einer Medikamentengabe (bspw. verabreichte Menge, Chargennummer, Applikationsweg, Verabreichungsdatum, Verabreichende/r, Empfänger/in). Inkl.: Auszüge aus einem Apothekenbuch, Chargendokumentation Apotheke"},{"code":"TH130103","display":"Chemotherapieprotokoll","definition":"Die Dokumentation beinhaltet den Nachweis über die verabreichte Dosis der Zytostatika und die Anzahl der Zyklen."},{"code":"TH130104","display":"Hormontherapieprotokoll","definition":"Die Dokumentation beinhaltet den Nachweis über die verabreichte Dosis der Hormone und die Anzahl der Zyklen."},{"code":"TH130105","display":"Medikamentenplan extern","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"TH130106","display":"Medikamentenplan intern/extern (mit BTM)","definition":"n.a.","property":[{"code":"status","valueCode":"deprecated"}]},{"code":"TH130107","display":"Medikationsplan","definition":"Die Dokumentation beinhaltet eine Übersicht über verordnete Arzneimittel. Exkl.: Medikationsplan elektronisch (eMP) = bundeseinheitlicher Medikationsplan - ED110103"},{"code":"TH130108","display":"Rezept","definition":"Die Dokumentation beinhaltet die Verschreibung des Arztes auf einem standardisiertem Formular von Arznei- oder Heilmitteln. Inkl. Muster 16 KBV, Sonderformen bspw. BTM. Exkl.: eRezept, Anforderung Medikation, Postoperative Verordnung"},{"code":"TH130109","display":"Schmerztherapieprotokoll","definition":"Die Dokumentation beinhaltet Angaben über die Durchführung einer medikamentösen schmerzlindernden Therapie. Inkl.: Therapieplan Schmerztherapie"},{"code":"TH130110","display":"Prämedikationsprotokoll","definition":"Die Dokumentation beinhaltet Angaben über die Anordnung und Verabreichung von Medikamenten vor einer Maßnahme. Exkl.: Anästhesieaufklärungsbogen, Präoperative Anästhesiedokumentation"},{"code":"TH130111","display":"Lyse Dokument","definition":"Die Dokumentation beinhaltet Angaben über die Durchführung einer medikamentösen Therapie zur Lösung von Blutgerinnseln. Inkl.: Checkliste Lysetherapie Exkl.: Dialyse"},{"code":"TH130199","display":"Sonstiges Dokument medikamentöser Therapie","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Lieferschein Medikation"}]},{"code":"TH1601","display":"Patientenschulungen","concept":[{"code":"TH160101","display":"Protokoll Ernährungsberatung","definition":"Die Dokumentation beinhaltet Angaben zu empfohlenen Nahrungsmitteln aufgrund verschiedener Indikationen."},{"code":"TH160102","display":"Apotheke Patientenberatung","definition":"Die Dokumentation beinhaltet Angaben eines Apotheker/Apothekerin zu empfohlenen Arzneimitteln aufgrund verschiedener Indikationen bzw. zur geeigneten Arzneimittelauswahl - auch mit Berücksichtigung einer Selbstmedikation. Exkl. Arzneimittelinformation"},{"code":"TH160199","display":"Sonstiges Protokoll Patientenschulung","definition":"Die Dokumentation beinhaltet Angaben, die nicht in einer spezifischeren KDL dieser Unterklasse abgebildet werden kann. Inkl.: Anmeldung Patientenschulung, Exkl.: Diabetesberatung"}]},{"code":"TH2001","display":"Transfusionsdokumente","concept":[{"code":"TH200101","display":"Anforderung Blutkonserven","definition":"Die Dokumentation beinhaltet die Anforderung von benötigten Blutkonserven bei einer Blutbank."},{"code":"TH200102","dis
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Ausnahmen: Unterschriebene Patienteneinwilligungen zur Anästhesie werden mit dem Konzept EINW (\"Einwilligungen/Aufklärungen\") abgebildet.Beispiele:Anästhesieprotokoll, Narkoseprotokoll, Aufwachraumprotokoll, Checkliste Anästhesie"}],"code":"ANAE","display":"Anästhesiedokumente"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Ärztliche Zusammenfassungen und Verlaufsbeurteilungen von Behandlungsepisoden, Epikrisen und Abschlussberichte zu stationären oder ambulanten Behandlungsfällen.Beispiele: Arztbrief, Entlassungsbericht, Ärztliche Stellungnahme, Durchgangsarztbericht / BG-Bericht, Rehabericht, Verlegungsbericht, vorläufiger Arztbericht, ärztlicher Verlaufsbericht, Ambulanzbericht"}],"code":"BERI","display":"Arztberichte"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Bestätigung eines Arztes über einen bestimmten, patientenbezogenen Sachverhalt.Beispiele: Arbeitsunfähigkeitsbescheinigung, Beurlaubung, Todesbescheinigung, Ärztliche Bescheinigung, Notfall-/ Vertretungsschein"}],"code":"BESC","display":"Ärztliche Bescheinigungen"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Alle Arten von Befunden und Befundbeurteilungen, sofern sie nicht durch spezifischere Konzepte abgebildet werden, z.B. BILD (\"Ergebnisse Bildgebende Diagnostik\"), FUNK (\"Ergebnisse Funktionsdiagnostik\"), MKRO (\"Ergebnisse Mikrobiologie\"), PATH (\"Pathologiebefundberichte\") oder VIRO (\"Ergebnisse Virologie\"). Auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet.Beispiele: Laborbefund, PoCT-Befund, RIA-Befund, Anatomische Skizzen, Befundbogen, Bericht Gesundheitsuntersuchung, Krebsfrüherkennung,\u00a0 Befund berufliche Belastungserprobung, Endokrinologiebefund, Fettstoffwechselanalytik, Hämostaseologiebefund/Gerinnung, Hämatologiebefund, Klinische Chemie, Protein-Labor, Hb-Labor, Gesichtsfeldbefund, Blutgasanalyse, Blutzuckeranalyse, Laboranforderung"}],"code":"BEFU","display":"Ergebnisse Diagnostik"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumentation zur Planung und Durchführung von Radiotherapien, einschließlich der ausgefüllten Anamnese- und Aufklärungsbögen zur Bestrahlungstherapie.Beispiele: Bestrahlungsplan, Bestrahlungsprotokoll, Bestrahlungsverordnung, Radiojodtherapieprotokoll, Therapieprotokoll mit Radionukleiden, Brachytherapieprotokoll, Bericht zur interventionellen Radioonkologie"}],"code":"BSTR","display":"Bestrahlungsdokumentation"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumente die im Rahmen von Überweisungs-, Einweisungs- und Aufnahmeprozessen entstehen oder diese Prozesse unterstützen. Dies betrifft sowohl stationäre wie auch ambulante Aufnahmen in Krankenhäusern und Reha-Einrichtungen, wie auch Besuche bei niedergelassenen Ärzten und Therapeuten. Diese Dokumente beinhalten üblicherweise patientenbezogene Daten, den bisherigen Krankheitsverlauf und aktuellen Zustand des Patienten sowie erste Untersuchungen/Therapieansätze. Beispiele: Anamnesebogen, Anmeldung Aufnahme, Checkliste Aufnahme, Verordnung einer Krankenhausbehandlung, Überweisungsschein, G-AEP-Kriterien, Stammblatt, Aufnahmebogen"}],"code":"AUFN","display":"Einweisungs- und Aufnahmedokumente"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumente, Formulare und sonstige Erklärungen, die der Patient im Verlauf des Versorgungsprozesses unterschreibt, einschließlich dokumentierter Aufklärungen. Ausnahmen: Verträge; Aufklärungsbögen zu Anästhesie und Bestrahlung werden über die Konzepte ANAE (\"Anästhesiedokumente\") bzw. BSTR (\"Bestrahlungsdokumentation\") abgebildet. Beispiele: Einwilligung zur Datenweitergabe, Einverständniserklärung, Aufklärungs- und Einwilligungsbogen zum chirurgischen Eingriff, Erklärung zum Verlassen der Klinik gegen ärztlichen Rat, vom Patienten unterschriebene Belehrungen"}],"code":"EINW","display":"Einwilligungen/Aufklärungen"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Protokolle, Untersuchungsergebnisse, Befunde und Beurteilungen aus apparativer oder instrumenteller Diagnostik ohne Bildgebung; auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beispiele: EEG, EMG, EKG-Befund, EKG-Kurvenausdruck, EKGMessdaten, Manometriebefund, Temperaturmesskurve, Schlaflabordokumentationsbogen, Blutdruckprotokoll, Lungenfunktionsbefund, Spiroergometriebefund, Herzschrittmacher-Protokoll, Belastungs-EKG, Protokoll einer diagnostischen Punktion, Mini Mental Status Test, Schmerzerhebungsbogen, Ernährungsscreening, Aachener Aphasie Test, Dem Tect, Sturzrisikoerfassungsbogen, Geriatrische Depressionsskala"}],"code":"FUNK","display":"Ergebnisse Funktionsdiagnostik"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Untersuchungsergebnisse aus apparativer Diagnostik mit bildgebenden Verfahren, einschließlich Bildern, Befunden und Beurteilungen. Auch Bilder und Befunde aus interventionellen radiologischen Verfahren werden mit diesem Konzept abgebildet. Auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beispiele: Radiologiebefund, Röntgenbild (CR), CT, MRT, PET, Sonographie, Mammographie, Endoskopiebefund, Szintigraphie, Herzkatheter-Bericht, Echokardiographie, Bronchoskopiebefund, Neuroradiologischer Befund, Angiographiebefund, Anforderungsschein Duplexsonographie"}],"code":"BILD","display":"Ergebnisse bildgebender Diagnostik"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumente bezüglich einer patientenbezogenen Beratung zwischen Fachärzten, Therapeuten oder Pflegepersonal. Bei fachspezifischen Dokumententypen wie Tumorboardprotokolle, sollte stattdessen das spezifischere Konzept verwendet werden, z.B. ONKO (\"Onkologische Dokumente\"). Fallbesprechungen, die rein aus einem pflegerischem Team bestehen, werden unter Pflegedokumentation abgebildet. Beispiele: interdisziplinäre Fallkonferenzprotokolle, interprofessionelle Fallkonferenzprotokolle"}],"code":"FALL","display":"Fallbesprechungen"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Bildaufnahmen (digitale oder konventionelle Fotografie) von Körperregionen bzw. Ganzkörperaufnahmen, die im Verlauf der Behandlung zum Zwecke der Diagnostik oder der Verlaufsbeurteilung angefertigt werden; die Fotos bzw. Fotoserien können durch (wenige) weitere Angaben ergänzt sein (z.B. Vermessungen, Verschlagwortung, Lokalisation, zeitlicher Bezug usw.). Ausnahme: siehe WUND (\"Wunddokumentation“) und OPDK („OP-Dokumente“). Beispiele: Fotodokumentation von Erkrankungen des Haut-/Haarsystems, prä-/post-operative Fotos der plastischen Chirurgie, fotografische Zahn-/Kieferaufnahmen der Mund-Kiefer-Gesichtschirurgie, Aufnahmen in der Augenheilkunde"}],"code":"FOTO","display":"Fotodokumentation"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumentation zur Durchführung von Therapien, durch ärztliche und nicht-ärztliche Therapeuten. Auch die zugehörigen Therapieanforderungen werden mit diesem Konzept abgebildet. Bei fachspezifischen Dokumententypen wie Bestrahlungsprotokollen, sollte stattdessen das spezifischere Konzept verwendet werden, z.B. BSTR (\"Bestrahlungsdokumentation\"), OPDK (\"OP-Dokumente\"). Reine Dokumentation der Medikation wird durch das Konzept MEDI (\"Medikamentöse Therapien\") abgebildet. Beispiele: Ergotherapieprotokoll, Logopädieprotokoll, Physiotherapieprotokoll, Schmerztherapieprotokoll, Reanimationsprotokoll, Dialysedokumente, Psychotherapeutische Dokumente"}],"code":"FPRO","display":"Therapiedokumentation"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Untersuchungsergebnisse der serologischen oder zellulären Diagnostik für Autoimmun- und Immundefekterkrankungen einschließlich immunologischer Testergebnisse zu Seren, Punktaten, Abstrichen usw.; auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beachte verwandte Konzepte: MKRO (\"Ergebnisse Mikrobiologie\") und VIRO (\"Ergebnisse Virologie\"). Beispiele: Rheumaserologiebefund, Allergologiebefund/Autoantikörpertest, Complement-analytischer Befund, Befund der zellulären Immundefektdiagnostik"}],"code":"IMMU","display":"Ergebnisse Immunologie"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumente, welche den stationären Aufenthalt und Krankheitsverlauf des Patienten sowie durchgeführte Maßnahmen auf einer Intensivstation oder Intermediate Care Station beschreiben. Ausgenommen ist der intensivmedizinische Komplexbehandlungsbogen, dieser wird durch KOMP (\"Komplexbehandlungsbogen\") abgebildet. Beispiele: Beatmungsprotokoll, Intensivkurve, Intensivpflegebericht, Monitoringausdruck, Intensivdokumentationsbogen, Intensivmedizinische Scores/Assessments (SAPS-II, TISS, Glasgow Coma Scale,…)"}],"code":"INTS","display":"Intensivmedizinische Dokumente"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Alle Erfassungsbögen bzw. Datensätze zur hochaufwendigen Pflege oder Therapie (gemäß OPS 8-97...8-98) für die genaue und vollständige Abrechnung (nach DRG). Beispiele: Geriatrischer Komplexbehandlungsbogen, Intensivmedizinischer Komplexbehandlungsbogen, MRSA Komplexbehandlungsbogen, Neurologischer Komplexbehandlungsbogen, Palliativmedizinischer Komplexbehandlungsbogen, PKMS Bogen"}],"code":"KOMP","display":"Komplexbehandlungsbögen"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Therapieprotokolle zum Nachweis der Verabreichung oder Verordnung von Arzneimitteln. Beispiele: Medikamentenplan, Chemotherapieprotokoll, Hormontherapieprotokoll, Apothekenbuch, Rezept, Anforderung Medikation"}],"code":"MEDI","display":"Medikamentöse Therapien"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Untersuchungsergebnisse kultureller, serologischer oder molekularbiologischer Erregerdiagnostik zur bakteriologischen oder mikrobiologischen Analyse von Abstrichen, Punktaten, Sekreten, Seren usw.; auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beachte verwandte Konzepte: IMMU (\"Ergebnisse Immunologie\") und VIRO (\"Ergebnisse Virologie\"). Beispiele: Befund über Nachweis von pathogenen Bakterien, Mikrobiologiebefund, MRSA-Schnelltest, Anforderungsschein Mikrobiologie"}],"code":"MKRO","display":"Ergebnisse Mikrobiologie"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumente, die in direktem Zusammenhang mit einer durchgeführten Operation (gemäß OPS Kapitel 5) stehen mit Ausnahme der OP-Einwilligung / Aufklärung. Dazu zählen auch Belege, die zum Nachweis der durchgeführten Maßnahmen und verwendeten Materialien vor, während und nach der Operation dienen. Beispiele: OP-Bericht, OP-Protokoll, OP-Checklisten, Sterilgut-/Chargendokumentation, Anmeldungsbogen OP, OPBilddokumentation, Tuchprotokoll, postoperative Verordnungen, Implantatsprotokoll"}],"code":"OPDK","display":"OP-Dokumente"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumente, welche in direktem Zusammenhang mit einer Tumorerkrankung und deren Nachsorge stehen. Ausgenommen sind Dokumente, in der Diagnostik und Therapie des Patienten festgehalten werden und die durch die entsprechenden spezifischeren Konzepte abgebildet werden, z.B. BEFU (\"Ergebnisse Diagnostik\"), OPDK (\"OP-Dokumente\"), BSTR (\"Bestrahlungsdokumentation\"). Beispiele: onkologische Follow-Up - Dokumente, Meldebogen Krebsregister, Tumorlokalisationsbogen, Tumorboardprotokoll"}],"code":"ONKO","display":"Onkologische Dokumente"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Befundberichte aus Pathologie, Histologie, Zytopathologie und Molekularpathologie von Organen, Gewebeproben, Zellproben, Foeten usw.; auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beispiele: Histologiebefund, Histologieanforderung, Autopsiebericht, Befund Dermatopathologie, Befund Hämatopathologie, Immunhistochemiebefund, Neuropathologiebefund, Schnellschnitt-Ergebnis, Probenbegleitschein Pathologie, genetische Befunde"}],"code":"PATH","display":"Pathologiebefundberichte"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumente, welche der Patient zu seinem Kontakt in der Gesundheitseinrichtung mitbringt, die aber nicht in unmittelbarem Zusammenhang mit dem aktuellen Kontakt stehen müssen. Sowie Dokumente, in denen das mitgebrachte Patienteneigentum festgehalten wird. Beispiele: Ausweise, Vorsorgevollmacht, Patientenverfügung, Wertgegenständeverwaltung, Notfalldatensatz, Patiententagebuch"}],"code":"PATD","display":"Patienteneigene Dokumente"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Reine Informationsblätter für den Patienten, welche über den Aufenthalt, Verlauf oder eine Krankheit informieren. Diese können auch patientenspezifische Informationen beinhalten. Zusätzlich Terminerinnerungen, Schulungsnachweise und ähnliche dem Patienten ausgehändigte oder an ihn versandte Unterlagen. Beispiele: vom Patienten nicht unterschriebene Belehrung, Informationsblatt, Schulungsunterlagen, Protokolle individueller Ernährungsberatung"}],"code":"PATI","display":"Patienteninformationen"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Alle Arten von Dokumenten, welche üblicherweise vom Pflegepersonal erstellt oder ausgefüllt werden, sofern sie nicht durch spezifischere Konzepte abgebildet werden (z.B. Wunddokumentation, Ergebnisse Funktionsdiagnostik, Intensivmedizinische Dokumente). Anforderungen von Therapien werden durch Therapiedokumentation abgebildet. Beispiele: Pflegebericht, Pflegekurve, Pflegeplan, Pflegeüberleitungsbogen, Sturzprotokoll, Überwachungsprotokoll, Pflegeanamnesebogen, Ernährungsplan, Dekubitusrisikoeinschätzung, Barthel-Index, Bradenskala, Diabetikerkurve"}],"code":"PFLG","display":"Pflegedokumentation"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Formulare, welche zur Qualitätssicherung der Krankenhausabläufe ausgefüllt werden müssen. Beispiele: Pflegestandards, Hygienestandards, Qualitätssicherungsbögen"}],"code":"QUAL","display":"Qualitätssicherung"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Belege für einen Patienten, welche vom Rettungsdienst erstellt werden. Ausnahme: Reanimationsprotokolle werden über das Konzept FPRO („Therapiedokumentation“) abgebildet.Beispiele: Rettungsdienst-/Notarztprotokoll, Rettungstechnische Daten"}],"code":"RETT","display":"Rettungsdienstliche Dokumente"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Einrichtungsübergreifender Brief-/Fax-/E-Mailverkehr z.B. Krankenhaus-Krankenkasse, Krankenhaus-Patient usw. Beinhaltet auch solche Dokumente die dem Patienten mitgegeben werden. Das Ziel ist nicht die unmittelbare Patientenversorgung sondern davon unabhängige bzw. diese allenfalls begleitende organisatorische oder administrative Aufgaben, solange diese nicht durch die spezifischeren Konzepte PATI (\"Patienteninformationen\") oder ABRE (\"Abrechnungsdokumente\") abgedeckt sind. Beispiele: Anforderung Unterlagen, Schriftverkehr Amtsgericht, Schriftverkehr MDK Arzt, Schriftverkehr Krankenkasse, Schriftverkehr Deutsche Rentenversicherung, Bescheinigung über Krankenhausaufenthalt"}],"code":"SCHR","display":"Schriftwechsel (administrativ)"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumente mit allen Informationen über die Phase vor, während und nach dem Geburtsverlauf, inklusive Funktionsdiagnostik (z.B. CTG) und Bildgebende Diagnostik und ähnliche Befunde die sich auf das Kind beziehen. Weiterhin beinhalten das Konzept Belege zur Neugeborenversorgung, wenn sie der Akte der Mutter zugeordnet sind. Verordnungen und Medikamentationsdokumentation hingegen werden über die jeweiligen Konzepte (VERO und MEDI) abgebildet. Beispiele: Geburtenbericht, Geburtenprotokoll, Geburtenverlaufskurve, Neugeborenenscreening, Partogramm, Wiegekarte, Neugeborenendokumentationsbogen, Säuglingskurve, Stillprotokoll"}],"code":"GEBU","display":"Schwangerschafts- und Geburtsdokumentation"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumentation zu Leistungen des Sozialdienstes o.ä., bei denen Patienten über verschiedene Unterstützungsangebote informiert, beraten und bei Inanspruchnahme begleitet werden. Ausnahmen: siehe Konzept ANTR (\"Anträge und deren Bescheide\"). Beispiele: Beratungsbogen sozialer Dienst, Soziotherapeutischer Betreuungsplan, Einschätzung Sozialdienst, Abschlussbericht Sozialdienst, Entlassungsmanagement-Bericht, Hilfsmittel-Versorgungsplan, Empfehlungen zur häuslichen Unterbringung und Pflege"}],"code":"SOZI","display":"Sozialdienstdokumente"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Patientenbezogene Dokumente, die für die Durchführung der Studie (Einschluss, Durchführung, Ende) oder anderer Forschungsvorhaben notwendig sind. Beispiele: CRF-Bogen, Einwilligung in Studie, Protokoll Ein- und Ausschlusskriterien, Prüfplan, SOP Bogen, Studienbericht"}],"code":"STUD","display":"Studiendokumente"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumentation von der Entnahme bis zur Transfusion aller Blutprodukte. Ausnahmen: Blutgruppenserologie, Immunhämatologie usw. werden durch das Konzept BEFU (\"Ergebnisse Diagnostik\") abgebildet. Beispiele: Anforderung Blutkonserve, Blutspendeprotokoll, Bluttransfusionsprotokoll, Konservenbegleitschein, Herstellungs- und Prüfprotokolle von Blutkomponenten"}],"code":"TRFU","display":"Transfusionsdokumente"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumentation im Zusammenhang mit der Transplantation von Organen oder Gewebe, sowohl Transplantatspender als auch Transplantatempfänger betreffend. Ausgenommen sind Dokumente, in der Diagnostik und Therapie des Patienten festgehalten werden und die durch die entsprechenden spezifischeren Konzepte abgebildet werden, z.B. BEFU (\"Ergebnisse Diagnostik\"), OPDK (\"OP-Dokumente\"), usw.\u00a0 Beispiele: Transplantationsprotokoll, Spenderdokument"}],"code":"TRPL","display":"Transplantationsdokumente"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Verordnungen für Heil- und Hilfsmittel, Krankentransport oder andere medizinische Güter und Dienstleistungen mit Ausnahme der Überweisungen und Verordnung von Krankenhausbehandlung. Verordnete Medikationen fallen unter MEDI (\"Medikamentöse Therapie\"). Überweisungen und Verordnungen von Krankenhausbehandlung werden über das Konzept AUFN („Einweisungs- und Aufnahmedokumente“) abgedeckt.Beispiele: Hilfsmittel, Krankentransport, Verordnung von Physiotherapie"}],"code":"VERO","display":"Verordnungen"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Verträge, welche für die stationäre/ambulante Versorgung abgeschlossen werden. Beispiele: Behandlungsvertrag, Wahlleistungsvertrag, Heimvertrag"}],"code":"VERT","display":"Verträge"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Untersuchungsergebnisse der Virusdiagnostik einschließlich virologischer Testergebnisse zu Abstrichen, Sekreten, Seren usw.; auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beachte verwandte Konzepte: IMMU (\"Ergebnisse Immunologie\") und MKRO (\"Ergebnisse Mikrobiologie\"). Beispiele: Befund über Nachweis von humanpathogenen Viren, Virologiebefund, ELISA, Anforderungsschein Virologie"}],"code":"VIRO","display":"Ergebnisse Virologie"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Berichte und Verlaufsdokumentationen zur Wunderfassung sowie Wundversorgung eines Patienten, einschließlich der hierfür spezifischen Fotodokumentation. Beispiele: Wunddokumentationsbogen, Bewegungs- und Lagerungsplan, Wundverlaufsbericht, Wundfotos mit/ohne Vermessungen, Dekubitusdokumentation Ausgeschlossen: Dekubitusrisikoeinschätzung (siehe Pflegedokumentation)."}],"code":"WUND","display":"Wunddokumentation"}]}]}}},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"IHEXDStypeCode","url":"http://ihe-d.de/CodeSystems/IHEXDStypeCode","version":"2020-02-07T07:55:58","name":"IHEXDStypeCode","title":"IHEXDStypeCode","status":"active","experimental":false,"publisher":"IHE Deutschland e.V.","caseSensitive":true,"content":"complete","count":38,"concept":[{"code":"ABRE","display":"Abrechnungsdokumente","definition":"Administrative Dokumente, die die Abrechnung eines Patientenfalles betreffen. Medizinische Dokumentation, die als Grundlage für die Abrechnung oder als Begründung für die Behandlung herangezogen wird, ist mit dem entsprechenden Konzept abzubilden. Einwilligungen zur Datenweitergabe an Abrechnungsstellen usw. werden mit dem Konzept EINW (\"Einwilligungen/Aufklärungen\") abgebildet. Der nicht abrechnungsbezogene Schriftwechsel mit der Krankenkasse wird mit dem Konzept SCHR (\"Schriftwechsel (administrativ)\") abgebildet.Beispiele: Abrechnungsschein, Rechnung ambulante/stationäre Behandlung, Kostenübernahmeverlängerung"},{"code":"ADCH","display":"Administrative Checklisten","definition":"Administrative Belege, die in erster Linie der Unterstützung von Organisationsprozessen dienen. Checklisten die primär zur Qualitätssicherung dienen werden mit dem Konzept QUAL (\"Qualitätssicherung\") abgedeckt. Checklisten die den Aufnahmeprozess betreffen werden mit dem Konzept AUFN (\"Einweisungs- und Aufnahmedokumente\") abgebildet.Beispiele: Aktenlaufzettel, Checkliste Entlassung"},{"code":"ANTR","display":"Anträge und deren Bescheide","definition":"Dokumente, die einer Zustimmung bestimmter Institutionen bedürfen, und deren Bescheide, um spezielle Leistungen und Maßnahmen in Anspruch nehmen zu können. Beispiele: Antrag auf Rehabilitation, AHB-Antrag, Antrag auf Betreuung, Antrag auf gesetzliche Unterbringung, Verlängerungsantrag, Antrag auf Psychotherapie, Antrag auf Pflegeeinstufung,\u00a0 Kostenübernahmeantrag, Fixierungsanordnung, Wiedereingliederungsplan."},{"code":"ANAE","display":"Anästhesiedokumente","definition":"Dokumentation zur Planung und Durchführung von Narkosen/Anästhesien, einschließlich der ausgefüllten Anamnese- und Aufklärungsbögen zur Anästhesie. Ausnahmen: Unterschriebene Patienteneinwilligungen zur Anästhesie werden mit dem Konzept EINW (\"Einwilligungen/Aufklärungen\") abgebildet.Beispiele:Anästhesieprotokoll, Narkoseprotokoll, Aufwachraumprotokoll, Checkliste Anästhesie"},{"code":"BERI","display":"Arztberichte","definition":"Ärztliche Zusammenfassungen und Verlaufsbeurteilungen von Behandlungsepisoden, Epikrisen und Abschlussberichte zu stationären oder ambulanten Behandlungsfällen.Beispiele: Arztbrief, Entlassungsbericht, Ärztliche Stellungnahme, Durchgangsarztbericht / BG-Bericht, Rehabericht, Verlegungsbericht, vorläufiger Arztbericht, ärztlicher Verlaufsbericht, Ambulanzbericht"},{"code":"BESC","display":"Ärztliche Bescheinigungen","definition":"Bestätigung eines Arztes über einen bestimmten, patientenbezogenen Sachverhalt.Beispiele: Arbeitsunfähigkeitsbescheinigung, Beurlaubung, Todesbescheinigung, Ärztliche Bescheinigung, Notfall-/ Vertretungsschein"},{"code":"BEFU","display":"Ergebnisse Diagnostik","definition":"Alle Arten von Befunden und Befundbeurteilungen, sofern sie nicht durch spezifischere Konzepte abgebildet werden, z.B. BILD (\"Ergebnisse Bildgebende Diagnostik\"), FUNK (\"Ergebnisse Funktionsdiagnostik\"), MKRO (\"Ergebnisse Mikrobiologie\"), PATH (\"Pathologiebefundberichte\") oder VIRO (\"Ergebnisse Virologie\"). Auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet.Beispiele: Laborbefund, PoCT-Befund, RIA-Befund, Anatomische Skizzen, Befundbogen, Bericht Gesundheitsuntersuchung, Krebsfrüherkennung,\u00a0 Befund berufliche Belastungserprobung, Endokrinologiebefund, Fettstoffwechselanalytik, Hämostaseologiebefund/Gerinnung, Hämatologiebefund, Klinische Chemie, Protein-Labor, Hb-Labor, Gesichtsfeldbefund, Blutgasanalyse, Blutzuckeranalyse, Laboranforderung"},{"code":"BSTR","display":"Bestrahlungsdokumentation","definition":"Dokumentation zur Planung und Durchführung von Radiotherapien, einschließlich der ausgefüllten Anamnese- und Aufklärungsbögen zur Bestrahlungstherapie.Beispiele: Bestrahlungsplan, Bestrahlungsprotokoll, Bestrahlungsverordnung, Radiojodtherapieprotokoll, Therapieprotokoll mit Radionukleiden, Brachytherapieprotokoll, Bericht zur interventionellen Radioonkologie"},{"code":"AUFN","display":"Einweisungs- und Aufnahmedokumente","definition":"Dokumente die im Rahmen von Überweisungs-, Einweisungs- und Aufnahmeprozessen entstehen oder diese Prozesse unterstützen. Dies betrifft sowohl stationäre wie auch ambulante Aufnahmen in Krankenhäusern und Reha-Einrichtungen, wie auch Besuche bei niedergelassenen Ärzten und Therapeuten. Diese Dokumente beinhalten üblicherweise patientenbezogene Daten, den bisherigen Krankheitsverlauf und aktuellen Zustand des Patienten sowie erste Untersuchungen/Therapieansätze. Beispiele: Anamnesebogen, Anmeldung Aufnahme, Checkliste Aufnahme, Verordnung einer Krankenhausbehandlung, Überweisungsschein, G-AEP-Kriterien, Stammblatt, Aufnahmebogen"},{"code":"EINW","display":"Einwilligungen/Aufklärungen","definition":"Dokumente, Formulare und sonstige Erklärungen, die der Patient im Verlauf des Versorgungsprozesses unterschreibt, einschließlich dokumentierter Aufklärungen. Ausnahmen: Verträge; Aufklärungsbögen zu Anästhesie und Bestrahlung werden über die Konzepte ANAE (\"Anästhesiedokumente\") bzw. BSTR (\"Bestrahlungsdokumentation\") abgebildet. Beispiele: Einwilligung zur Datenweitergabe, Einverständniserklärung, Aufklärungs- und Einwilligungsbogen zum chirurgischen Eingriff, Erklärung zum Verlassen der Klinik gegen ärztlichen Rat, vom Patienten unterschriebene Belehrungen"},{"code":"FUNK","display":"Ergebnisse Funktionsdiagnostik","definition":"Protokolle, Untersuchungsergebnisse, Befunde und Beurteilungen aus apparativer oder instrumenteller Diagnostik ohne Bildgebung; auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beispiele: EEG, EMG, EKG-Befund, EKG-Kurvenausdruck, EKGMessdaten, Manometriebefund, Temperaturmesskurve, Schlaflabordokumentationsbogen, Blutdruckprotokoll, Lungenfunktionsbefund, Spiroergometriebefund, Herzschrittmacher-Protokoll, Belastungs-EKG, Protokoll einer diagnostischen Punktion, Mini Mental Status Test, Schmerzerhebungsbogen, Ernährungsscreening, Aachener Aphasie Test, Dem Tect, Sturzrisikoerfassungsbogen, Geriatrische Depressionsskala"},{"code":"BILD","display":"Ergebnisse bildgebender Diagnostik","definition":"Untersuchungsergebnisse aus apparativer Diagnostik mit bildgebenden Verfahren, einschließlich Bildern, Befunden und Beurteilungen. Auch Bilder und Befunde aus interventionellen radiologischen Verfahren werden mit diesem Konzept abgebildet. Auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beispiele: Radiologiebefund, Röntgenbild (CR), CT, MRT, PET, Sonographie, Mammographie, Endoskopiebefund, Szintigraphie, Herzkatheter-Bericht, Echokardiographie, Bronchoskopiebefund, Neuroradiologischer Befund, Angiographiebefund, Anforderungsschein Duplexsonographie"},{"code":"FALL","display":"Fallbesprechungen","definition":"Dokumente bezüglich einer patientenbezogenen Beratung zwischen Fachärzten, Therapeuten oder Pflegepersonal. Bei fachspezifischen Dokumententypen wie Tumorboardprotokolle, sollte stattdessen das spezifischere Konzept verwendet werden, z.B. ONKO (\"Onkologische Dokumente\"). Fallbesprechungen, die rein aus einem pflegerischem Team bestehen, werden unter Pflegedokumentation abgebildet. Beispiele: interdisziplinäre Fallkonferenzprotokolle, interprofessionelle Fallkonferenzprotokolle"},{"code":"FOTO","display":"Fotodokumentation","definition":"Bildaufnahmen (digitale oder konventionelle Fotografie) von Körperregionen bzw. Ganzkörperaufnahmen, die im Verlauf der Behandlung zum Zwecke der Diagnostik oder der Verlaufsbeurteilung angefertigt werden; die Fotos bzw. Fotoserien können durch (wenige) weitere Angaben ergänzt sein (z.B. Vermessungen, Verschlagwortung, Lokalisation, zeitlicher Bezug usw.). Ausnahme: siehe WUND (\"Wunddokumentation“) und OPDK („OP-Dokumente“). Beispiele: Fotodokumentation von Erkrankungen des Haut-/Haarsystems, prä-/post-operative Fotos der plastischen Chirurgie, fotografische Zahn-/Kieferaufnahmen der Mund-Kiefer-Gesichtschirurgie, Aufnahmen in der Augenheilkunde"},{"code":"FPRO","display":"Therapiedokumentation","definition":"Dokumentation zur Durchführung von Therapien, durch ärztliche und nicht-ärztliche Therapeuten. Auch die zugehörigen Therapieanforderungen werden mit diesem Konzept abgebildet. Bei fachspezifischen Dokumententypen wie Bestrahlungsprotokollen, sollte stattdessen das spezifischere Konzept verwendet werden, z.B. BSTR (\"Bestrahlungsdokumentation\"), OPDK (\"OP-Dokumente\"). Reine Dokumentation der Medikation wird durch das Konzept MEDI (\"Medikamentöse Therapien\") abgebildet. Beispiele: Ergotherapieprotokoll, Logopädieprotokoll, Physiotherapieprotokoll, Schmerztherapieprotokoll, Reanimationsprotokoll, Dialysedokumente, Psychotherapeutische Dokumente"},{"code":"IMMU","display":"Ergebnisse Immunologie","definition":"Untersuchungsergebnisse der serologischen oder zellulären Diagnostik für Autoimmun- und Immundefekterkrankungen einschließlich immunologischer Testergebnisse zu Seren, Punktaten, Abstrichen usw.; auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beachte verwandte Konzepte: MKRO (\"Ergebnisse Mikrobiologie\") und VIRO (\"Ergebnisse Virologie\"). Beispiele: Rheumaserologiebefund, Allergologiebefund/Autoantikörpertest, Complement-analytischer Befund, Befund der zellulären Immundefektdiagnostik"},{"code":"INTS","display":"Intensivmedizinische Dokumente","definition":"Dokumente, welche den stationären Aufenthalt und Krankheitsverlauf des Patienten sowie durchgeführte Maßnahmen auf einer Intensivstation oder Intermediate Care Station beschreiben. Ausgenommen ist der intensivmedizinische Komplexbehandlungsbogen, dieser wird durch KOMP (\"Komplexbehandlungsbogen\") abgebildet. Beispiele: Beatmungsprotokoll, Intensivkurve, Intensivpflegebericht, Monitoringausdruck, Intensivdokumentationsbogen, Intensivmedizinische Scores/Assessments (SAPS-II, TISS, Glasgow Coma Scale,…)"},{"code":"KOMP","display":"Komplexbehandlungsbögen","definition":"Alle Erfassungsbögen bzw. Datensätze zur hochaufwendigen Pflege oder Therapie (gemäß OPS 8-97...8-98) für die genaue und vollständige Abrechnung (nach DRG). Beispiele: Geriatrischer Komplexbehandlungsbogen, Intensivmedizinischer Komplexbehandlungsbogen, MRSA Komplexbehandlungsbogen, Neurologischer Komplexbehandlungsbogen, Palliativmedizinischer Komplexbehandlungsbogen, PKMS Bogen"},{"code":"MEDI","display":"Medikamentöse Therapien","definition":"Therapieprotokolle zum Nachweis der Verabreichung oder Verordnung von Arzneimitteln. Beispiele: Medikamentenplan, Chemotherapieprotokoll, Hormontherapieprotokoll, Apothekenbuch, Rezept, Anforderung Medikation"},{"code":"MKRO","display":"Ergebnisse Mikrobiologie","definition":"Untersuchungsergebnisse kultureller, serologischer oder molekularbiologischer Erregerdiagnostik zur bakteriologischen oder mikrobiologischen Analyse von Abstrichen, Punktaten, Sekreten, Seren usw.; auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beachte verwandte Konzepte: IMMU (\"Ergebnisse Immunologie\") und VIRO (\"Ergebnisse Virologie\"). Beispiele: Befund über Nachweis von pathogenen Bakterien, Mikrobiologiebefund, MRSA-Schnelltest, Anforderungsschein Mikrobiologie"},{"code":"OPDK","display":"OP-Dokumente","definition":"Dokumente, die in direktem Zusammenhang mit einer durchgeführten Operation (gemäß OPS Kapitel 5) stehen mit Ausnahme der OP-Einwilligung / Aufklärung. Dazu zählen auch Belege, die zum Nachweis der durchgeführten Maßnahmen und verwendeten Materialien vor, während und nach der Operation dienen. Beispiele: OP-Bericht, OP-Protokoll, OP-Checklisten, Sterilgut-/Chargendokumentation, Anmeldungsbogen OP, OPBilddokumentation, Tuchprotokoll, postoperative Verordnungen, Implantatsprotokoll"},{"code":"ONKO","display":"Onkologische Dokumente","definition":"Dokumente, welche in direktem Zusammenhang mit einer Tumorerkrankung und deren Nachsorge stehen. Ausgenommen sind Dokumente, in der Diagnostik und Therapie des Patienten festgehalten werden und die durch die entsprechenden spezifischeren Konzepte abgebildet werden, z.B. BEFU (\"Ergebnisse Diagnostik\"), OPDK (\"OP-Dokumente\"), BSTR (\"Bestrahlungsdokumentation\"). Beispiele: onkologische Follow-Up - Dokumente, Meldebogen Krebsregister, Tumorlokalisationsbogen, Tumorboardprotokoll"},{"code":"PATH","display":"Pathologiebefundberichte","definition":"Befundberichte aus Pathologie, Histologie, Zytopathologie und Molekularpathologie von Organen, Gewebeproben, Zellproben, Foeten usw.; auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beispiele: Histologiebefund, Histologieanforderung, Autopsiebericht, Befund Dermatopathologie, Befund Hämatopathologie, Immunhistochemiebefund, Neuropathologiebefund, Schnellschnitt-Ergebnis, Probenbegleitschein Pathologie, genetische Befunde"},{"code":"PATD","display":"Patienteneigene Dokumente","definition":"Dokumente, welche der Patient zu seinem Kontakt in der Gesundheitseinrichtung mitbringt, die aber nicht in unmittelbarem Zusammenhang mit dem aktuellen Kontakt stehen müssen. Sowie Dokumente, in denen das mitgebrachte Patienteneigentum festgehalten wird. Beispiele: Ausweise, Vorsorgevollmacht, Patientenverfügung, Wertgegenständeverwaltung, Notfalldatensatz, Patiententagebuch"},{"code":"PATI","display":"Patienteninformationen","definition":"Reine Informationsblätter für den Patienten, welche über den Aufenthalt, Verlauf oder eine Krankheit informieren. Diese können auch patientenspezifische Informationen beinhalten. Zusätzlich Terminerinnerungen, Schulungsnachweise und ähnliche dem Patienten ausgehändigte oder an ihn versandte Unterlagen. Beispiele: vom Patienten nicht unterschriebene Belehrung, Informationsblatt, Schulungsunterlagen, Protokolle individueller Ernährungsberatung"},{"code":"PFLG","display":"Pflegedokumentation","definition":"Alle Arten von Dokumenten, welche üblicherweise vom Pflegepersonal erstellt oder ausgefüllt werden, sofern sie nicht durch spezifischere Konzepte abgebildet werden (z.B. Wunddokumentation, Ergebnisse Funktionsdiagnostik, Intensivmedizinische Dokumente). Anforderungen von Therapien werden durch Therapiedokumentation abgebildet. Beispiele: Pflegebericht, Pflegekurve, Pflegeplan, Pflegeüberleitungsbogen, Sturzprotokoll, Überwachungsprotokoll, Pflegeanamnesebogen, Ernährungsplan, Dekubitusrisikoeinschätzung, Barthel-Index, Bradenskala, Diabetikerkurve"},{"code":"QUAL","display":"Qualitätssicherung","definition":"Formulare, welche zur Qualitätssicherung der Krankenhausabläufe ausgefüllt werden müssen. Beispiele: Pflegestandards, Hygienestandards, Qualitätssicherungsbögen"},{"code":"RETT","display":"Rettungsdienstliche Dokumente","definition":"Belege für einen Patienten, welche vom Rettungsdienst erstellt werden. Ausnahme: Reanimationsprotokolle werden über das Konzept FPRO („Therapiedokumentation“) abgebildet.Beispiele: Rettungsdienst-/Notarztprotokoll, Rettungstechnische Daten"},{"code":"SCHR","display":"Schriftwechsel (administrativ)","definition":"Einrichtungsübergreifender Brief-/Fax-/E-Mailverkehr z.B. Krankenhaus-Krankenkasse, Krankenhaus-Patient usw. Beinhaltet auch solche Dokumente die dem Patienten mitgegeben werden. Das Ziel ist nicht die unmittelbare Patientenversorgung sondern davon unabhängige bzw. diese allenfalls begleitende organisatorische oder administrative Aufgaben, solange diese nicht durch die spezifischeren Konzepte PATI (\"Patienteninformationen\") oder ABRE (\"Abrechnungsdokumente\") abgedeckt sind. Beispiele: Anforderung Unterlagen, Schriftverkehr Amtsgericht, Schriftverkehr MDK Arzt, Schriftverkehr Krankenkasse, Schriftverkehr Deutsche Rentenversicherung, Bescheinigung über Krankenhausaufenthalt"},{"code":"GEBU","display":"Schwangerschafts- und Geburtsdokumentation","definition":"Dokumente mit allen Informationen über die Phase vor, während und nach dem Geburtsverlauf, inklusive Funktionsdiagnostik (z.B. CTG) und Bildgebende Diagnostik und ähnliche Befunde die sich auf das Kind beziehen. Weiterhin beinhalten das Konzept Belege zur Neugeborenversorgung, wenn sie der Akte der Mutter zugeordnet sind. Verordnungen und Medikamentationsdokumentation hingegen werden über die jeweiligen Konzepte (VERO und MEDI) abgebildet. Beispiele: Geburtenbericht, Geburtenprotokoll, Geburtenverlaufskurve, Neugeborenenscreening, Partogramm, Wiegekarte, Neugeborenendokumentationsbogen, Säuglingskurve, Stillprotokoll"},{"code":"SOZI","display":"Sozialdienstdokumente","definition":"Dokumentation zu Leistungen des Sozialdienstes o.ä., bei denen Patienten über verschiedene Unterstützungsangebote informiert, beraten und bei Inanspruchnahme begleitet werden. Ausnahmen: siehe Konzept ANTR (\"Anträge und deren Bescheide\"). Beispiele: Beratungsbogen sozialer Dienst, Soziotherapeutischer Betreuungsplan, Einschätzung Sozialdienst, Abschlussbericht Sozialdienst, Entlassungsmanagement-Bericht, Hilfsmittel-Versorgungsplan, Empfehlungen zur häuslichen Unterbringung und Pflege"},{"code":"STUD","display":"Studiendokumente","definition":"Patientenbezogene Dokumente, die für die Durchführung der Studie (Einschluss, Durchführung, Ende) oder anderer Forschungsvorhaben notwendig sind. Beispiele: CRF-Bogen, Einwilligung in Studie, Protokoll Ein- und Ausschlusskriterien, Prüfplan, SOP Bogen, Studienbericht"},{"code":"TRFU","display":"Transfusionsdokumente","definition":"Dokumentation von der Entnahme bis zur Transfusion aller Blutprodukte. Ausnahmen: Blutgruppenserologie, Immunhämatologie usw. werden durch das Konzept BEFU (\"Ergebnisse Diagnostik\") abgebildet. Beispiele: Anforderung Blutkonserve, Blutspendeprotokoll, Bluttransfusionsprotokoll, Konservenbegleitschein, Herstellungs- und Prüfprotokolle von Blutkomponenten"},{"code":"TRPL","display":"Transplantationsdokumente","definition":"Dokumentation im Zusammenhang mit der Transplantation von Organen oder Gewebe, sowohl Transplantatspender als auch Transplantatempfänger betreffend. Ausgenommen sind Dokumente, in der Diagnostik und Therapie des Patienten festgehalten werden und die durch die entsprechenden spezifischeren Konzepte abgebildet werden, z.B. BEFU (\"Ergebnisse Diagnostik\"), OPDK (\"OP-Dokumente\"), usw.\u00a0 Beispiele: Transplantationsprotokoll, Spenderdokument"},{"code":"VERO","display":"Verordnungen","definition":"Verordnungen für Heil- und Hilfsmittel, Krankentransport oder andere medizinische Güter und Dienstleistungen mit Ausnahme der Überweisungen und Verordnung von Krankenhausbehandlung. Verordnete Medikationen fallen unter MEDI (\"Medikamentöse Therapie\"). Überweisungen und Verordnungen von Krankenhausbehandlung werden über das Konzept AUFN („Einweisungs- und Aufnahmedokumente“) abgedeckt.Beispiele: Hilfsmittel, Krankentransport, Verordnung von Physiotherapie"},{"code":"VERT","display":"Verträge","definition":"Verträge, welche für die stationäre/ambulante Versorgung abgeschlossen werden. Beispiele: Behandlungsvertrag, Wahlleistungsvertrag, Heimvertrag"},{"code":"VIRO","display":"Ergebnisse Virologie","definition":"Untersuchungsergebnisse der Virusdiagnostik einschließlich virologischer Testergebnisse zu Abstrichen, Sekreten, Seren usw.; auch die zugehörigen Untersuchungsanforderungen werden mit diesem Konzept abgebildet. Beachte verwandte Konzepte: IMMU (\"Ergebnisse Immunologie\") und MKRO (\"Ergebnisse Mikrobiologie\"). Beispiele: Befund über Nachweis von humanpathogenen Viren, Virologiebefund, ELISA, Anforderungsschein Virologie"},{"code":"WUND","display":"Wunddokumentation","definition":"Berichte und Verlaufsdokumentationen zur Wunderfassung sowie Wundversorgung eines Patienten, einschließlich der hierfür spezifischen Fotodokumentation. Beispiele: Wunddokumentationsbogen, Bewegungs- und Lagerungsplan, Wundverlaufsbericht, Wundfotos mit/ohne Vermessungen, Dekubitusdokumentation Ausgeschlossen: Dekubitusrisikoeinschätzung (siehe Pflegedokumentation)."}]}},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
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date:Fri, 07 Nov 2025 16:25:44 GMT
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{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : false},{"name" : "system","valueUri" : "http://ihe-d.de/CodeSystems/IHEXDStypeCode"},{"name" : "x-caused-by-unknown-system","valueCanonical" : "http://ihe-d.de/CodeSystems/IHEXDStypeCode|3.0.1"},{"name" : "code","valueCode" : "BERI"},{"name" : "version","valueString" : "2020-02-07T07:55:58"},{"name" : "display","valueString" : "Arztberichte"},{"name" : "message","valueString" : "A definition for CodeSystem 'http://ihe-d.de/CodeSystems/IHEXDStypeCode' version '3.0.1' could not be found, so the code cannot be validated. Valid versions: 2020-02-07T07:55:58; The code system 'http://ihe-d.de/CodeSystems/IHEXDStypeCode' version '2020-02-07T07:55:58' for the versionless include in the ValueSet include is different to the one in the value ('3.0.1')"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "VALUESET_VALUE_MISMATCH_DEFAULT"}],"severity" : "error","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "vs-invalid"}],"text" : "The code system 'http://ihe-d.de/CodeSystems/IHEXDStypeCode' version '2020-02-07T07:55:58' for the versionless include in the ValueSet include is different to the one in the value ('3.0.1')"},"location" : ["Coding.version"],"expression" : ["Coding.version"]},{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://ihe-d.de/CodeSystems/IHEXDStypeCode' version '3.0.1' could not be found, so the code cannot be validated. Valid versions: 2020-02-07T07:55:58"},"location" : ["Coding.system"],"expression" : ["Coding.system"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n31 31: tx-op\r\n31 0: 0ms http://ihe-d.de/ValueSets/IHEXDStypeCode|2020-02-07T07:55:58: Analysing\r\n31 0: 0ms http://ihe-d.de/ValueSets/IHEXDStypeCode|2020-02-07T07:55:58: Parameters: disp-lang=de-DE, default-to-latest\r\n31 0: 0ms http://ihe-d.de/ValueSets/IHEXDStypeCode|2020-02-07T07:55:58: CodeSystem found: \"http://loinc.org|2.81\"\r\n31 0: 0ms http://ihe-d.de/ValueSets/IHEXDStypeCode|2020-02-07T07:55:58: CodeSystem found: \"http://ihe-d.de/CodeSystems/IHEXDStypeCode|2020-02-07T07:55:58\"\r\n31 0: 0ms http://ihe-d.de/ValueSets/IHEXDStypeCode|2020-02-07T07:55:58: Validate \"[http://ihe-d.de/CodeSystems/IHEXDStypeCode|3.0.1#BERI (\"Arztberichte\")]\"\r\n31 0: 0ms http://ihe-d.de/ValueSets/IHEXDStypeCode|2020-02-07T07:55:58: Check \"http://ihe-d.de/CodeSystems/IHEXDStypeCode|3.0.1#BERI\"\r\n31 0: 0ms http://ihe-d.de/ValueSets/IHEXDStypeCode|2020-02-07T07:55:58: CodeSystem found: http://ihe-d.de/CodeSystems/IHEXDStypeCode|2020-02-07T07:55:58 for http://ihe-d.de/CodeSystems/IHEXDStypeCode\r\n31 0: 0ms http://ihe-d.de/ValueSets/IHEXDStypeCode|2020-02-07T07:55:58: Code \"BERI\" found in http://ihe-d.de/CodeSystems/IHEXDStypeCode|2020-02-07T07:55:58\r\n"}]}
#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://ihe-d.de/CodeSystems/IHEXDSclassCode","version":"3.0.1","code":"BRI","display":"Brief"}],"text":"Brief"}},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1891
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:44 GMT
last-modified:Fri, 07 Nov 2025 16:25:44 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096747
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : false},{"name" : "x-caused-by-unknown-system","valueCanonical" : "http://ihe-d.de/CodeSystems/IHEXDSclassCode"},{"name" : "message","valueString" : "A definition for CodeSystem 'http://ihe-d.de/CodeSystems/IHEXDSclassCode' version '3.0.1' could not be found, so the code cannot be validated. No versions of this code system are known"},{"name" : "codeableConcept","valueCodeableConcept" : {"coding" : [{"system" : "http://ihe-d.de/CodeSystems/IHEXDSclassCode","version" : "3.0.1","code" : "BRI","display" : "Brief"}],"text" : "Brief"}},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "UNKNOWN_CODESYSTEM_VERSION_NONE"}],"severity" : "error","code" : "not-found","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "not-found"}],"text" : "A definition for CodeSystem 'http://ihe-d.de/CodeSystems/IHEXDSclassCode' version '3.0.1' could not be found, so the code cannot be validated. No versions of this code system are known"},"location" : ["CodeableConcept.coding[0].system"],"expression" : ["CodeableConcept.coding[0].system"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://ihe-d.de/CodeSystems/IHEXDSclassCode|3.0.1#BRI (\"Brief\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://ihe-d.de/CodeSystems/IHEXDSclassCode|3.0.1#BRI\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Didn't find CodeSystem \"http://ihe-d.de/CodeSystems/IHEXDSclassCode|3.0.1\"\r\n"}]}
#40
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://ihe-d.de/CodeSystems/IHEXDSclassCode","version":"3.0.1","code":"BRI","display":"Brief"}},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"1.2.276.0.76.11.32--20210625134447","meta":{"profile":["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]},"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod","valuePeriod":{"start":"2021-06-25T13:44:47+01:00"}}],"url":"http://ihe-d.de/ValueSets/IHEXDSclassCode","identifier":[{"use":"official","system":"urn:ietf:rfc:3986","value":"urn:oid:1.2.276.0.76.11.32"}],"version":"2021-06-25T13:44:47","name":"IHEXDSclassCode","title":"IHE XDS classCode","status":"active","experimental":false,"publisher":"IHE Deutschland e.V.","description":"**classCode (XDSDocumentEntry)**\r\n A high-level classification of XDS Documents that indicates the kind of document, e.g., report, summary, note, consent.","immutable":false,"compose":{"include":[{"system":"http://loinc.org","concept":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"IHE BPPC verwendet laut IHE ITI TF-3 Rev 12.1 (5.1.2.1.1.1) diesen Class Code für \"Patient Privacy Consent Acknowledgment Documents\", d.h. Patienteneinwilligungen, die auf vordefinierte Zugriffsregelungen verweisen."}],"code":"57016-8","display":"Patienteneinverständniserklärung"}]},{"system":"http://ihe-d.de/CodeSystems/IHEXDSclassCode","concept":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Anträge, Aufklärung, Bescheinigungen; auch juristische Dokumente, Vereinbarungen und Verträge; Anmeldungen, Regelungen, Einwilligungen, Bestellungen, Rechnungen, Bescheide, Anordnungen (im juristischen Sinne), Aufträge, Ausweise (außer medizinische Ausweise wie Impfpässe, siehe Konzept AUS (\"Medizinischer Ausweis\")), Meldungen, Qualitätssicherungsdokumente, Patientenverfügungen"}],"code":"ADM","display":"Administratives Dokument"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Anforderung von Diagnostik oder therapeutischen Interventionen; Ausnahmen: nicht medizinische Anforderungen werden über \"Administratives Dokument\" abgedeckt."}],"code":"ANF","display":"Anforderung"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Bewertungsbögen zur Bestimmung von Scores und ähnlichen Kennwerten zum gesundheitlichen Zustand des Patienten, die primär der Behandlung des Patienten dienen - sonst handelt es sich um das Konzept GUT (\"Qualitätsmanagement\")"}],"code":"ASM","display":"Assessment"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Befundberichte von bildgebenden Modalitäten (CT, MRT), weiterer Funktionsdiagnostik (EEG, EKG), sowie manuellen Untersuchungen; solange es keine spezifischeren classCodes gibt (z.B LAB \"Laborergebnisse\"). Eine weitere Spezialisierung der Befundberichte (z.B. Histopathologie)\u00a0 kann über den typeCode realisiert werden, insofern sie nicht über den practiceSettingCode abgebildet werden."}],"code":"BEF","display":"Befundbericht"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Unter diesem Konzept werden alle Dokumente zusammengefasst, deren Ziel es ist, einen Sachverhalt optisch darzustellen. Beispiele sind Röntgen-, MRT-, CT-Aufnahmen oder Fotos von Wunden, Körperteilen oder ähnlichem. Bilder von Textdokumenten werden nach dem enthaltenen Text klassiert, Videodokumente unter Videodaten."}],"code":"BIL","display":"Bilddaten"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Alle Varianten von Arztbriefen wie Überweisungsbrief, Entlassbrief, etc. sowie weitere zusammenfassende Dokumente mit einer ärztlichen oder pflegerischen Bewertung der Fakten. Befundberichte werden über das Konzept \"BEF\" (Befundbericht) abgedeckt."}],"code":"BRI","display":"Brief"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Notizen und ähnliche Dokumente die keinen inhaltlichen Vorgaben folgen, aber für die weitere Behandlung des Patienten bedeutend sind."}],"code":"DOK","display":"Dokumente ohne besondere Form (Notizen)"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Maschinell oder von Menschen erstellte Protokolle durchgeführter Anamnese, Diagnostik oder Therapie, z.B. Anamnesebogen, OP-Berichte,\u00a0\u00a0Medikamentenverabreichungen; hierzu zählen auch ausgefüllte Checklisten die das prozesskonforme Vorgehen während einer Untersuchung oder OP dokumentieren. Die Protokolle können auch Handlungsanweisungen bzw. Empfehlungen beinhalten, z.B. Visitenprotokoll, Konsilbericht. Dazu gehören auch Messdaten (oft auch als Quelldaten oder Rohdaten bezeichnet) ohne menschliche Bewertung wie Temperaturkurven, Blutdruck-Messungen, Blutzuckerkurven, unbefundete EKGs, Herz-Tonaufnahmen, Bestrahlungsprotokoll, Dosiswerte, etc. mit Ausnahme von Bilddaten und Videodaten. Der Begriff \"Patientenkurve\" wird in einigen Fällen für eine Sammlung von Temperatur-, Blutdruck- und weiteren pflegerischen Beobachtungen verwendet und sollte dann auch über das Konzept DUR (\"Durchführungsprotokoll\") abgedeckt werden. Da der Begriff \"Patientenkurve\" auch für andere Dokumente (bzw. Dokumentenkombinationen) verwendet wird, sollte vor einer solchen Abbildung eine Analyse der so bezeichneten Dokumente durchgeführt und das entsprechende Konzept verwendet werden.\u00a0Dokumente die mit diesem Konzept bezeichnet werden können maschinenlesbar sein, müssen es jedoch nicht (z.B. sowohl EKG-Kurve wie auch eingescanntes EKG sind abgedeckt). Ursprungs- und Zwischenformate (wie z.B. Diktat eines Arztbriefes) werden mit dem inhaltlich sinnvollen classCode gekennzeichnet (Brief in diesem Beispiel)."}],"code":"DUR","display":"Durchführungsprotokoll"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumente, die ausschließlich für Forschungsvorhaben erstellt wurden oder gepflegt werden (außer Einwilligungen und Aufklärungen für Forschungsvorhaben, siehe Konzept ADM (\"administratives Dokument\"))"}],"code":"FOR","display":"Forschung"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Medizinische Gutachten und Stellungnahmen die eine Qualitätsbewertung als Ziel haben, nicht primär die Unterstützung der Behandlung des Patienten (da sonst das Konzept ASM (\"Assessment\") verwendet werden sollte). Hierbei handelt es sich nicht notwendigerweise um Gutachten im juristischen Sinn."}],"code":"GUT","display":"Gutachten und Qualitätsmanagement"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Sowohl automatisch erstellte Analysen wie auch Dokumente die primär die Interpretation des Laborarztes darstellen. Auch Dokumentation von Prozessen von Blutbanken, wie auch Human-genetische Analysen gehören hierzu."}],"code":"LAB","display":"Laborergebnisse"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Ausweise, Pässe und ähnliche kurze Datensätze, die wichtige medizinische Informationen zusammenfassen. Beispiele: Allergiepass, Allergieausweis, Impfpass, Impfausweis, Impfbuch, Notfalldatensatz"}],"code":"AUS","display":"Medizinischer Ausweis"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Dokumente zur Behandlungsplanung (z.B. Bestrahlungsplan, Medikationsplan) oder Versorgungsplanung (z.B. Nachsorge-Plan). Weitere Beispiele: Wiedereingliederungsplan."}],"code":"PLA","display":"Planungsdokument"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Verordnungen für Krankenhausbehandlung, Arzneimittel bzw. Heil- und Hilfsmittel, sowie Überweisungen an andere Ärzte"}],"code":"VER","display":"Verordnung"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Videodaten mit und ohne Tonspuren, sowie gemischte Bild- und Videodaten"}],"code":"VID","display":"Videodaten"}]}]}}},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"IHEXDSclassCode","url":"http://ihe-d.de/CodeSystems/IHEXDSclassCode","version":"2021-06-25T13:44:47","name":"IHEXDSclassCode","title":" IHEXDSclassCode","status":"active","experimental":false,"publisher":"IHE Deutschland e.V.","caseSensitive":true,"content":"complete","count":15,"concept":[{"code":"ADM","display":"Administratives Dokument","definition":"Anträge, Aufklärung, Bescheinigungen; auch juristische Dokumente, Vereinbarungen und Verträge; Anmeldungen, Regelungen, Einwilligungen, Bestellungen, Rechnungen, Bescheide, Anordnungen (im juristischen Sinne), Aufträge, Ausweise (außer medizinische Ausweise wie Impfpässe, siehe Konzept AUS (\"Medizinischer Ausweis\")), Meldungen, Qualitätssicherungsdokumente, Patientenverfügungen"},{"code":"ANF","display":"Anforderung","definition":"Anforderung von Diagnostik oder therapeutischen Interventionen; Ausnahmen: nicht medizinische Anforderungen werden über \"Administratives Dokument\" abgedeckt."},{"code":"ASM","display":"Assessment","definition":"Bewertungsbögen zur Bestimmung von Scores und ähnlichen Kennwerten zum gesundheitlichen Zustand des Patienten, die primär der Behandlung des Patienten dienen - sonst handelt es sich um das Konzept GUT (\"Qualitätsmanagement\")"},{"code":"BEF","display":"Befundbericht","definition":"Befundberichte von bildgebenden Modalitäten (CT, MRT), weiterer Funktionsdiagnostik (EEG, EKG), sowie manuellen Untersuchungen; solange es keine spezifischeren classCodes gibt (z.B LAB \"Laborergebnisse\"). Eine weitere Spezialisierung der Befundberichte (z.B. Histopathologie)\u00a0 kann über den typeCode realisiert werden, insofern sie nicht über den practiceSettingCode abgebildet werden."},{"code":"BIL","display":"Bilddaten","definition":"Unter diesem Konzept werden alle Dokumente zusammengefasst, deren Ziel es ist, einen Sachverhalt optisch darzustellen. Beispiele sind Röntgen-, MRT-, CT-Aufnahmen oder Fotos von Wunden, Körperteilen oder ähnlichem. Bilder von Textdokumenten werden nach dem enthaltenen Text klassiert, Videodokumente unter Videodaten."},{"code":"BRI","display":"Brief","definition":"Alle Varianten von Arztbriefen wie Überweisungsbrief, Entlassbrief, etc. sowie weitere zusammenfassende Dokumente mit einer ärztlichen oder pflegerischen Bewertung der Fakten. Befundberichte werden über das Konzept \"BEF\" (Befundbericht) abgedeckt."},{"code":"DOK","display":"Dokumente ohne besondere Form (Notizen)","definition":"Notizen und ähnliche Dokumente die keinen inhaltlichen Vorgaben folgen, aber für die weitere Behandlung des Patienten bedeutend sind."},{"code":"DUR","display":"Durchführungsprotokoll","definition":"Maschinell oder von Menschen erstellte Protokolle durchgeführter Anamnese, Diagnostik oder Therapie, z.B. Anamnesebogen, OP-Berichte,\u00a0\u00a0Medikamentenverabreichungen; hierzu zählen auch ausgefüllte Checklisten die das prozesskonforme Vorgehen während einer Untersuchung oder OP dokumentieren. Die Protokolle können auch Handlungsanweisungen bzw. Empfehlungen beinhalten, z.B. Visitenprotokoll, Konsilbericht. Dazu gehören auch Messdaten (oft auch als Quelldaten oder Rohdaten bezeichnet) ohne menschliche Bewertung wie Temperaturkurven, Blutdruck-Messungen, Blutzuckerkurven, unbefundete EKGs, Herz-Tonaufnahmen, Bestrahlungsprotokoll, Dosiswerte, etc. mit Ausnahme von Bilddaten und Videodaten. Der Begriff \"Patientenkurve\" wird in einigen Fällen für eine Sammlung von Temperatur-, Blutdruck- und weiteren pflegerischen Beobachtungen verwendet und sollte dann auch über das Konzept DUR (\"Durchführungsprotokoll\") abgedeckt werden. Da der Begriff \"Patientenkurve\" auch für andere Dokumente (bzw. Dokumentenkombinationen) verwendet wird, sollte vor einer solchen Abbildung eine Analyse der so bezeichneten Dokumente durchgeführt und das entsprechende Konzept verwendet werden.\u00a0Dokumente die mit diesem Konzept bezeichnet werden können maschinenlesbar sein, müssen es jedoch nicht (z.B. sowohl EKG-Kurve wie auch eingescanntes EKG sind abgedeckt). Ursprungs- und Zwischenformate (wie z.B. Diktat eines Arztbriefes) werden mit dem inhaltlich sinnvollen classCode gekennzeichnet (Brief in diesem Beispiel)."},{"code":"FOR","display":"Forschung","definition":"Dokumente, die ausschließlich für Forschungsvorhaben erstellt wurden oder gepflegt werden (außer Einwilligungen und Aufklärungen für Forschungsvorhaben, siehe Konzept ADM (\"administratives Dokument\"))"},{"code":"GUT","display":"Gutachten und Qualitätsmanagement","definition":"Medizinische Gutachten und Stellungnahmen die eine Qualitätsbewertung als Ziel haben, nicht primär die Unterstützung der Behandlung des Patienten (da sonst das Konzept ASM (\"Assessment\") verwendet werden sollte). Hierbei handelt es sich nicht notwendigerweise um Gutachten im juristischen Sinn."},{"code":"LAB","display":"Laborergebnisse","definition":"Sowohl automatisch erstellte Analysen wie auch Dokumente die primär die Interpretation des Laborarztes darstellen. Auch Dokumentation von Prozessen von Blutbanken, wie auch Human-genetische Analysen gehören hierzu."},{"code":"AUS","display":"Medizinischer Ausweis","definition":"Ausweise, Pässe und ähnliche kurze Datensätze, die wichtige medizinische Informationen zusammenfassen. Beispiele: Allergiepass, Allergieausweis, Impfpass, Impfausweis, Impfbuch, Notfalldatensatz"},{"code":"PLA","display":"Planungsdokument","definition":"Dokumente zur Behandlungsplanung (z.B. Bestrahlungsplan, Medikationsplan) oder Versorgungsplanung (z.B. Nachsorge-Plan). Weitere Beispiele: Wiedereingliederungsplan."},{"code":"VER","display":"Verordnung","definition":"Verordnungen für Krankenhausbehandlung, Arzneimittel bzw. Heil- und Hilfsmittel, sowie Überweisungen an andere Ärzte"},{"code":"VID","display":"Videodaten","definition":"Videodaten mit und ohne Tonspuren, sowie gemischte Bild- und Videodaten"}]}},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:3270
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:44 GMT
last-modified:Fri, 07 Nov 2025 16:25:44 GMT
pragma:no-cache
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#41
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date:Fri, 07 Nov 2025 16:25:44 GMT
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{"resourceType" : "Bundle","id" : "9acaa1d6-119e-4a16-abb9-2497dbc30e","meta" : {"lastUpdated" : "2025-11-07T16:25:44.862Z"},"type" : "searchset","total" : 2,"link" : [{"relation" : "self","url" : "CodeSystem?&url=http://terminology.hl7.org/CodeSystem/v3-Confidentiality"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r4/CodeSystem/v3-Confidentiality","resource" : {"resourceType" : "CodeSystem","id" : "v3-Confidentiality","language" : "en","text" : {"status" : "generated"},"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" : "3.0.0","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" : [{"extension" : [{"url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry","valueCode" : "antisymmetric"},{"url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity","valueCode" : "transitive"},{"url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity","valueCode" : "irreflexive"},{"url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable","valueBoolean" : true},{"url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind","valueCode" : "Specializes"},{"url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName","valueString" : "Generalizes"}],"code" : "Specializes","description" : "The child code is a more narrow version of the concept represented by the parent code. 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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. See 45 CFR Section 164.514.\r\n\r\nThis metadata indicates that the receiver may have an obligation to comply with a data use agreement with the discloser. The discloser may have obligations to comply with policies dictating the methods for de-identification.\r\n\r\nConfidentiality code total order hierarchy: Low (L) is less protective than *V, R, N,* and *M*, and subsumes *U*.","property" : [{"code" : "status","valueCode" : "active"},{"code" : "internalId","valueCode" : "10234"}]},{"code" : "M","display" : "moderate","definition" : "Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a moderate risk of harm to an individual's reputation and sense of privacy.\r\n\r\n*Usage Note:* The level of protection afforded moderately confidential information is dictated by privacy policies intended to engender trust in a service provider. 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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). 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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"},{"code" : "internalId","valueCode" : "21049"}],"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"},{"code" : "internalId","valueCode" : "21050"}],"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"},{"code" : "internalId","valueCode" : "21051"}],"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"}]}]}]}},{"fullUrl" : "http://tx.fhir.org/r4/CodeSystem/v3-Confidentiality","resource" : {"resourceType" : "CodeSystem","id" : "v3-Confidentiality","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-Confidentiality","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:2.16.840.1.113883.5.25"}],"version" : "2018-08-12","name" : "v3.Confidentiality","title" : "v3 Code System Confidentiality","status" : "active","experimental" : false,"date" : "2018-08-12T00:00:00+10:00","publisher" : "HL7, Inc","contact" : [{"telecom" : [{"system" : "url","value" : "http://hl7.org"}]}],"description" : " A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain \"Confidentiality\".","caseSensitive" : true,"valueSet" : "http://terminology.hl7.org/ValueSet/v3-Confidentiality","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" : "_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\".","concept" : [{"code" : "L","display" : "low","definition" : "Definition: Privacy metadata indicating that the information has been de-identified, and there are mitigating circumstances that prevent re-identification, which minimize risk of harm from unauthorized disclosure. The information requires protection to maintain low sensitivity.\r\n\n \n Examples: Includes anonymized, pseudonymized, or non-personally identifiable information such as HIPAA limited data sets.\r\n\n \n Map: No clear map to ISO 13606-4 Sensitivity Level (1) Care Management: RECORD_COMPONENTs that might need to be accessed by a wide range of administrative staff to manage the subject of care's access to health services.\r\n\n \n Usage Note: This metadata indicates the receiver may have an obligation to comply with a data use agreement."},{"code" : "M","display" : "moderate","definition" : "Definition: Privacy metadata indicating moderately sensitive information, which presents moderate risk of harm if disclosed without authorization.\r\n\n \n Examples: Includes allergies of non-sensitive nature used inform food service; health information a patient authorizes to be used for marketing, released to a bank for a health credit card or savings account; or information in personal health record systems that are not governed under health privacy laws.\r\n\n \n Map: Partial Map to ISO 13606-4 Sensitivity Level (2) Clinical Management: Less sensitive RECORD_COMPONENTs that might need to be accessed by a wider range of personnel not all of whom are actively caring for the patient (e.g. radiology staff).\r\n\n \n Usage Note: This metadata indicates that the receiver may be obligated to comply with the receiver's terms of use or privacy policies."},{"code" : "N","display" : "normal","definition" : "Definition: Privacy metadata indicating that the information is typical, non-stigmatizing health information, which presents typical risk of harm if disclosed without authorization.\r\n\n \n Examples: In the US, this includes what HIPAA identifies as the minimum necessary protected health information (PHI) given a covered purpose of use (treatment, payment, or operations). Includes typical, non-stigmatizing health information disclosed in an application for health, workers compensation, disability, or life insurance.\r\n\n \n Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care: 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\n \n Usage Note: This metadata indicates that the receiver may be obligated to comply with applicable jurisdictional privacy law or disclosure authorization."},{"code" : "R","display" : "restricted","definition" : "Privacy metadata indicating highly sensitive, potentially stigmatizing information, which presents a high risk to the information subject if disclosed without authorization. May be pre-empted by jurisdictional law, e.g., for public health reporting or emergency treatment.\r\n\n \n Examples: Includes 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.\r\n\n \n Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care: 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\n \n Usage Note: This metadata indicates that the receiver may be obligated to comply with applicable, prevailing (default) jurisdictional privacy law or disclosure authorization.."},{"code" : "U","display" : "unrestricted","definition" : "Definition: Privacy metadata indicating that the information is not classified as sensitive.\r\n\n \n Examples: Includes publicly available information, e.g., business name, phone, email or physical address.\r\n\n \n Usage Note: This metadata indicates that the receiver has no obligation to consider additional policies when making access control decisions. Note that in some jurisdictions, personally identifiable information must be protected as confidential, so it would not be appropriate to assign a confidentiality code of \"unrestricted\" to that information even if it is publicly available."},{"code" : "V","display" : "very restricted","definition" : ". Privacy metadata indicating that the information is extremely sensitive and likely stigmatizing health information that presents a very high risk if disclosed without authorization. This information must be kept in the highest confidence. \r\n\n \n Examples: Includes 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 “legal lockâ€? or attorney-client privilege\r\n\n \n Map: This metadata indicates that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject.\r\n\n \n Usage Note: This metadata indicates that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject."}]},{"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\n \n Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}],"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\n \n Deprecation Comment: Replced by ActCode.B","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}]},{"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\n \n Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}]},{"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\n \n Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}]}]},{"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\n \n Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}],"concept" : [{"code" : "ETH","display" : "substance abuse related","definition" : "Description: Alcohol/drug-abuse related item\r\n\n \n Deprecation Comment:Replced by ActCode.ETH","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}]},{"code" : "HIV","display" : "HIV related","definition" : "Description: HIV and AIDS related item\r\n\n \n Deprecation Comment:Replced by ActCode.HIV","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}]},{"code" : "PSY","display" : "psychiatry relate","definition" : "Description: Psychiatry related item\r\n\n \n Deprecation Comment:Replced by ActCode.PSY","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}]},{"code" : "SDV","display" : "sexual and domestic violence related","definition" : "Description: Sexual assault / domestic violence related item\r\n\n \n Deprecation Comment:Replced by ActCode.SDV","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}]}]},{"code" : "_ConfidentialityModifiers","display" : "ConfidentialityModifiers","definition" : "Description: Modifiers of role based access rights (multiple allowed)\r\n\n \n Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "notSelectable","valueBoolean" : true},{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}],"concept" : [{"code" : "C","display" : "celebrity","definition" : "Description: Celebrities are people of public interest (VIP) including employees, whose information require special protection.\r\n\n \n Deprecation Comment:Replced by ActCode.CEL","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}]},{"code" : "S","display" : "sensitive","definition" : "Description: \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.\n Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}]},{"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\n \n Deprecation Note:Replced by ActCode.TBOO","property" : [{"code" : "status","valueCode" : "retired"},{"code" : "deprecationDate","valueDateTime" : "2011-12-14"}]}]}]}}]}
#42
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-Confidentiality","version":"4.0.1","code":"L","display":"low"}},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1594
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:44 GMT
last-modified:Fri, 07 Nov 2025 16:25:44 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096751
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"},{"name" : "code","valueCode" : "L"},{"name" : "version","valueString" : "3.0.0"},{"name" : "display","valueString" : "low"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "NO_VALID_DISPLAY_FOUND_LANG_NONE"}],"severity" : "information","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "display-comment"}],"text" : "'low' is the default display; the code system http://terminology.hl7.org/CodeSystem/v3-Confidentiality has no Display Names for the language de-DE"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://terminology.hl7.org/CodeSystem/v3-Confidentiality|4.0.1#L (\"low\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://terminology.hl7.org/CodeSystem/v3-Confidentiality|4.0.1#L\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://terminology.hl7.org/CodeSystem/v3-Confidentiality|3.0.0 (from hl7.terminology.r4#6.5.0)\" (content = complete)\r\n"}]}
#43
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":"codeableConcept","valueCodeableConcept":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Confidentiality","version":"4.0.1","code":"L","display":"low"}]}},{"name":"displayLanguage","valueString":"de-DE"},{"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":"3.0.0","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":[{"extension":[{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry","valueCode":"antisymmetric"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity","valueCode":"transitive"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity","valueCode":"irreflexive"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable","valueBoolean":true},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind","valueCode":"Specializes"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName","valueString":"Generalizes"}],"code":"Specializes","description":"The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric.","type":"Coding"},{"extension":[{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry","valueCode":"antisymmetric"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity","valueCode":"transitive"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity","valueCode":"irreflexive"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable","valueBoolean":true},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind","valueCode":"Generalizes"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName","valueString":"Specializes"}],"code":"Generalizes","description":"Inverse of Specializes. Only included as a derived relationship.","type":"Coding"},{"code":"internalId","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description":"The internal identifier for the concept in the HL7 Access database repository.","type":"code"},{"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"},{"code":"internalId","valueCode":"23320"}],"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. See 45 CFR Section 164.514.\r\n\r\nThis metadata indicates that the receiver may have an obligation to comply with a data use agreement with the discloser. The discloser may have obligations to comply with policies dictating the methods for de-identification.\r\n\r\nConfidentiality code total order hierarchy: Low (L) is less protective than *V, R, N,* and *M*, and subsumes *U*.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10234"}]},{"code":"M","display":"moderate","definition":"Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a moderate risk of harm to an individual's reputation and sense of privacy.\r\n\r\n*Usage Note:* The level of protection afforded moderately confidential information is dictated by privacy policies intended to engender trust in a service provider. 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"},{"code":"internalId","valueCode":"21049"}],"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"},{"code":"internalId","valueCode":"21050"}],"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"},{"code":"internalId","valueCode":"21051"}],"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":"9.0.0","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-symmetry","valueCode":"antisymmetric"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity","valueCode":"transitive"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity","valueCode":"irreflexive"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable","valueBoolean":true},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind","valueCode":"Specializes"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName","valueString":"Generalizes"}],"code":"Specializes","description":"The child code is a more narrow version of the concept represented by the parent code. I.e. Every child concept is also a valid parent concept. Used to allow determination of subsumption. Must be transitive, irreflexive, antisymmetric.","type":"Coding"},{"extension":[{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry","valueCode":"antisymmetric"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity","valueCode":"transitive"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity","valueCode":"irreflexive"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable","valueBoolean":true},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind","valueCode":"Generalizes"},{"url":"http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName","valueString":"Specializes"}],"code":"Generalizes","description":"Inverse of Specializes. Only included as a derived relationship.","type":"Coding"},{"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":"internalId","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description":"The internal identifier for the concept in the HL7 Access database repository.","type":"code"},{"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":"internalId","valueCode":"20849"}]},{"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":"internalId","valueCode":"20850"}]},{"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":"internalId","valueCode":"20853"}]},{"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":"internalId","valueCode":"21993"}]},{"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":"internalId","valueCode":"20857"}]},{"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":"internalId","valueCode":"20858"}]},{"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":"internalId","valueCode":"21825"}]},{"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":"internalId","valueCode":"23004"}]},{"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":"internalId","valueCode":"22199"}]},{"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":"internalId","valueCode":"20860"}]},{"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":"internalId","valueCode":"20861"}]},{"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":"internalId","valueCode":"20863"}]},{"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":"internalId","valueCode":"20865"}]},{"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":"internalId","valueCode":"22096"}]},{"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":"internalId","valueCode":"20867"}]},{"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":"internalId","valueCode":"22353"}]},{"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":"internalId","valueCode":"20872"}]},{"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":"internalId","valueCode":"20873"}]},{"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":"internalId","valueCode":"22244"}]},{"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":"internalId","valueCode":"22332"}]},{"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":"internalId","valueCode":"22386"}]},{"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":"internalId","valueCode":"20888"}]},{"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":"internalId","valueCode":"20889"}]},{"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":"internalId","valueCode":"20892"}]},{"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":"internalId","valueCode":"20895"}]},{"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":"internalId","valueCode":"20897"}]},{"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":"internalId","valueCode":"22387"}]},{"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":"internalId","valueCode":"21907"}]},{"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":"internalId","valueCode":"20900"}]},{"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":"internalId","valueCode":"20901"}]},{"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":"internalId","valueCode":"22182"}]},{"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":"internalId","valueCode":"20903"}]},{"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":"internalId","valueCode":"22388"}]},{"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":"internalId","valueCode":"20905"}]},{"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":"internalId","valueCode":"21517"}]},{"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":"internalId","valueCode":"22047"}]},{"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":"internalId","valueCode":"21545"}]},{"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":"internalId","valueCode":"20930"}]},{"code":"_ROIOverlayShape","display":"ROIOverlayShape","definition":"Shape of the region on the object being referenced","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20931"}]},{"code":"C","display":"corrected","definition":"**Description:**Indicates that result data has been corrected.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22831"}]},{"code":"DIET","display":"Diet","definition":"Code set to define specialized/allowed diets","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10376"}]},{"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":"internalId","valueCode":"22132"}]},{"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":"internalId","valueCode":"22830"}]},{"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":"internalId","valueCode":"22829"}]},{"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":"internalId","valueCode":"23471"}]},{"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":"internalId","valueCode":"22138"}]},{"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":"internalId","valueCode":"22146"}]},{"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":"internalId","valueCode":"20852"}]},{"code":"_ActBillableTreatmentPlanCode","display":"ActBillableTreatmentPlanCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20856"}]},{"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":"internalId","valueCode":"21511"}]},{"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":"internalId","valueCode":"22267"}]},{"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":"internalId","valueCode":"20899"}]},{"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":"internalId","valueCode":"21535"}]},{"code":"_ActProcedureCode","display":"ActProcedureCode","definition":"An identifying code for healthcare interventions/procedures.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20902"}]},{"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":"internalId","valueCode":"20904"}]},{"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":"internalId","valueCode":"22641"}]},{"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":"internalId","valueCode":"22095"}]},{"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":"internalId","valueCode":"22176"}]},{"code":"_ExternallyDefinedActCodes","display":"ExternallyDefinedActCodes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20919"}]},{"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":"internalId","valueCode":"20921"}]},{"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":"internalId","valueCode":"22078"}]},{"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":"internalId","valueCode":"22079"}]},{"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":"internalId","valueCode":"22046"}]},{"code":"COPAY","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17501"}]},{"code":"DEDUCT","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17500"}]},{"code":"DOSEIND","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17793"}]},{"code":"PRA","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"16675"}]},{"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":"internalId","valueCode":"21456"}]},{"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":"internalId","valueCode":"21361"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"CASH","display":"Cash","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14810"},{"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":"internalId","valueCode":"23013"},{"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":"internalId","valueCode":"21301"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"_CreditCard","display":"CreditCard","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20912"},{"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":"internalId","valueCode":"20851"},{"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":"internalId","valueCode":"19347"},{"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":"internalId","valueCode":"17619"},{"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":"internalId","valueCode":"17617"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"CONT","display":"contract","definition":"Transaction counts and value totals by Contract Identifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17974"},{"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":"internalId","valueCode":"17969"},{"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":"internalId","valueCode":"17976"},{"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":"internalId","valueCode":"17970"},{"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":"internalId","valueCode":"17971"},{"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":"internalId","valueCode":"17975"},{"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":"internalId","valueCode":"17972"},{"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":"internalId","valueCode":"17973"},{"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":"internalId","valueCode":"17475"},{"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":"internalId","valueCode":"17473"},{"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":"internalId","valueCode":"21390"},{"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":"internalId","valueCode":"23274"},{"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":"internalId","valueCode":"21651"},{"code":"subsumedBy","valueCode":"_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code":"_ActAdministrativeAuthorizationDetectedIssueCode","display":"ActAdministrativeAuthorizationDetectedIssueCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21389"},{"code":"subsumedBy","valueCode":"_ActAdministrativeDetectedIssueCode"}]},{"code":"_ActAdministrativeRuleDetectedIssueCode","display":"ActAdministrativeRuleDetectedIssueCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21391"},{"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":"internalId","valueCode":"21387"},{"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":"internalId","valueCode":"21392"},{"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":"internalId","valueCode":"21393"},{"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":"internalId","valueCode":"23272"},{"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":"internalId","valueCode":"23275"},{"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":"internalId","valueCode":"22151"},{"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":"internalId","valueCode":"22150"},{"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":"internalId","valueCode":"22219"},{"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":"internalId","valueCode":"22220"},{"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":"internalId","valueCode":"17480"},{"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":"internalId","valueCode":"17484"},{"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":"internalId","valueCode":"17481"},{"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":"internalId","valueCode":"19723"},{"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":"internalId","valueCode":"17482"},{"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":"internalId","valueCode":"17483"},{"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":"internalId","valueCode":"17479"},{"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":"internalId","valueCode":"17897"},{"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":"internalId","valueCode":"17898"},{"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":"internalId","valueCode":"21826"},{"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":"internalId","valueCode":"20869"},{"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":"internalId","valueCode":"20896"},{"code":"subsumedBy","valueCode":"_ActCareProvisionCode"}]},{"code":"AUTOATTCH","display":"auto attachment","definition":"**Description:** Automobile Information Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23012"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"DOCUMENT","display":"document","definition":"**Description:** Document Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23008"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"HEALTHREC","display":"health record","definition":"**Description:** Health Record Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23010"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"IMG","display":"image attachment","definition":"**Description:** Image Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23006"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"LABRESULTS","display":"lab results","definition":"**Description:** Lab Results Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23009"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"MODEL","display":"model","definition":"**Description:** Digital Model Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23007"},{"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":"internalId","valueCode":"23011"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"XRAY","display":"x-ray","definition":"**Description:** Digital X-Ray Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23005"},{"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":"internalId","valueCode":"24107"},{"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":"internalId","valueCode":"24108"},{"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":"internalId","valueCode":"23325"},{"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":"internalId","valueCode":"23754"},{"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":"internalId","valueCode":"23755"},{"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":"internalId","valueCode":"23756"},{"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":"internalId","valueCode":"23757"},{"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":"internalId","valueCode":"23370"},{"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":"internalId","valueCode":"23326"},{"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":"internalId","valueCode":"23758"},{"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
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{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : false},{"name" : "system","valueUri" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"},{"name" : "code","valueCode" : "L"},{"name" : "version","valueString" : "3.0.0"},{"name" : "display","valueString" : "low"},{"name" : "message","valueString" : "The code system 'http://terminology.hl7.org/CodeSystem/v3-Confidentiality' version '3.0.0' for the versionless include in the ValueSet include is different to the one in the value ('4.0.1')"},{"name" : "codeableConcept","valueCodeableConcept" : {"coding" : [{"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality","version" : "4.0.1","code" : "L","display" : "low"}]}},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "VALUESET_VALUE_MISMATCH_DEFAULT"}],"severity" : "error","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "vs-invalid"}],"text" : "The code system 'http://terminology.hl7.org/CodeSystem/v3-Confidentiality' version '3.0.0' for the versionless include in the ValueSet include is different to the one in the value ('4.0.1')"},"location" : ["CodeableConcept.coding[0].version"],"expression" : ["CodeableConcept.coding[0].version"]},{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "NO_VALID_DISPLAY_FOUND_LANG_NONE"}],"severity" : "information","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "display-comment"}],"text" : "'low' is the default display; the code system http://terminology.hl7.org/CodeSystem/v3-Confidentiality has no Display Names for the language de-DE"},"location" : ["CodeableConcept.coding[0].display"],"expression" : ["CodeableConcept.coding[0].display"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n610 610: tx-op\r\n610 0: 0ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Analysing\r\n610 0: 0ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Parameters: disp-lang=de-DE, default-to-latest\r\n610 0: tx-op\r\n610 0: 0ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: Analysing\r\n610 0: 0ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: Parameters: disp-lang=de-DE, default-to-latest\r\n610 0: 0ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-Confidentiality|3.0.0\"\r\n610 0: tx-op\r\n610 0: 0ms http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy|3.0.0: Analysing\r\n610 0: 0ms http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n641 31: 31ms http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0\"\r\n641 0: tx-op\r\n641 0: 31ms http://terminology.hl7.org/ValueSet/v3-Compartment|3.0.0: Analysing\r\n641 0: 31ms http://terminology.hl7.org/ValueSet/v3-Compartment|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n641 0: 31ms http://terminology.hl7.org/ValueSet/v3-Compartment|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0\"\r\n641 0: tx-op\r\n641 0: 31ms http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue|3.1.0: Analysing\r\n641 0: 31ms http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue|3.1.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n657 16: 47ms http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue|3.1.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0\"\r\n657 0: tx-op\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue|3.0.0: Analysing\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n657 0: tx-op\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-SecurityPolicy|3.0.0: Analysing\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-SecurityPolicy|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-SecurityPolicy|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0\"\r\n657 0: tx-op\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-ObligationPolicy|3.0.0: Analysing\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-ObligationPolicy|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-ObligationPolicy|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0\"\r\n657 0: tx-op\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|3.0.0: Analysing\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0\"\r\n657 0: tx-op\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0: Analysing\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActReason|3.1.0\"\r\n657 0: tx-op\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-GeneralPurposeOfUse|3.0.0: Analysing\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-GeneralPurposeOfUse|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-GeneralPurposeOfUse|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActReason|3.1.0\"\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0\"\r\n657 0: tx-op\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|3.0.0: Analysing\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActUSPrivacyLaw|3.0.0\"\r\n657 0: 47ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Validate \"[http://terminology.hl7.org/CodeSystem/v3-Confidentiality|4.0.1#L (\"low\")]\"\r\n657 0: 47ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Check \"http://terminology.hl7.org/CodeSystem/v3-Confidentiality|4.0.1#L\"\r\n657 0: 47ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Check included value set http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: Check \"http://terminology.hl7.org/CodeSystem/v3-Confidentiality|4.0.1#L\"\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: CodeSystem found: http://terminology.hl7.org/CodeSystem/v3-Confidentiality|3.0.0 for http://terminology.hl7.org/CodeSystem/v3-Confidentiality\r\n657 0: 47ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: Code \"L\" found in http://terminology.hl7.org/CodeSystem/v3-Confidentiality|3.0.0\r\n"}]}
#44
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/zip"},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:67767c2e-5f11-4e27-9950-e0a56c8a1e6b","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:13"}]}}},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1117
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:45 GMT
last-modified:Fri, 07 Nov 2025 16:25:45 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096754
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:13"},{"name" : "code","valueCode" : "application/zip"},{"name" : "display","valueString" : "application/zip"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms urn:uuid:67767c2e-5f11-4e27-9950-e0a56c8a1e6b: Analysing\r\n0 0: 0ms urn:uuid:67767c2e-5f11-4e27-9950-e0a56c8a1e6b: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms urn:uuid:67767c2e-5f11-4e27-9950-e0a56c8a1e6b: CodeSystem found: \"urn:ietf:bcp:13|\"\r\n0 0: 0ms urn:uuid:67767c2e-5f11-4e27-9950-e0a56c8a1e6b: Validate \"[#application/zip (\"\")]\" and infer system\r\n0 0: 0ms urn:uuid:67767c2e-5f11-4e27-9950-e0a56c8a1e6b: Check \"#application/zip\"\r\n0 0: 0ms urn:uuid:67767c2e-5f11-4e27-9950-e0a56c8a1e6b: Inferred CodeSystem = \"urn:ietf:bcp:13\"\r\n0 0: 0ms urn:uuid:67767c2e-5f11-4e27-9950-e0a56c8a1e6b: CodeSystem found: urn:ietf:bcp:13| for urn:ietf:bcp:13\r\n0 0: 0ms urn:uuid:67767c2e-5f11-4e27-9950-e0a56c8a1e6b: Code \"application/zip\" found in urn:ietf:bcp:13|\r\n"}]}
#45
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/zip"},{"name":"displayLanguage","valueString":"de-DE"},{"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":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1119
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:45 GMT
last-modified:Fri, 07 Nov 2025 16:25:45 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096755
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:13"},{"name" : "code","valueCode" : "application/zip"},{"name" : "display","valueString" : "application/zip"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n16 16: tx-op\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Analysing\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Parameters: disp-lang=de-DE, default-to-latest\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: CodeSystem found: \"urn:ietf:bcp:13|\"\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Validate \"[#application/zip (\"\")]\" and infer system\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Check \"#application/zip\"\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Inferred CodeSystem = \"urn:ietf:bcp:13\"\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: CodeSystem found: urn:ietf:bcp:13| for urn:ietf:bcp:13\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Code \"application/zip\" found in urn:ietf:bcp:13|\r\n"}]}
#46
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":"de-AT"},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","id":"languages","meta":{"lastUpdated":"2019-10-31T22:29:23.356+00:00","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":"trial-use"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":3}],"url":"http://hl7.org/fhir/ValueSet/languages","identifier":[{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.4.642.3.20"}],"version":"4.0.1","name":"CommonLanguages","title":"Common Languages","status":"draft","experimental":false,"date":"2016-08-22T09:53:05+00:00","publisher":"HL7 International - FHIR-Infrastructure","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]}],"description":"This value set includes common codes from BCP-47 (http://tools.ietf.org/html/bcp47)","compose":{"include":[{"system":"urn:ietf:bcp:47","concept":[{"code":"ar","display":"Arabic","designation":[{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Arabisk"},{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Arabic"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Arabisch"}]},{"code":"bn","display":"Bengali","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Bengali"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Bengaals"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Бенгальский"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"孟加拉语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Bengalisch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Bengalsk"}]},{"code":"cs","display":"Czech","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Czech"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Tsjechisch"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Чешский"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"捷克语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Tschechisch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Tjekkisk"}]},{"code":"da","display":"Danish","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Danish"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Deens"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Датский"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"丹麦语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Dänisch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Dansk"}]},{"code":"de","display":"German","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"German"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Duits"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Немецкий"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"德语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Deutsch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Tysk"}]},{"code":"de-AT","display":"German (Austria)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"German (Austria)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Duits (Oostenrijk)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Немецкий (Австрия)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"德语 （奥地利）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Deutsch (Österreich)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Tysk (Østrig"}]},{"code":"de-CH","display":"German (Switzerland)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"German (Switzerland)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Duits (Zwitserland)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Немецкий (Швейцария)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"德语 （瑞士）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Deutsch (Schweiz)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Tysk (Schweiz)"}]},{"code":"de-DE","display":"German 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(Australia)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"English (Australia)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Engels (Australië)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Английский (Австралия)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"英语 （澳大利亚）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Englisch (Australien)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Engelsk (Australien)"}]},{"code":"en-CA","display":"English 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Britain)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"English (Great Britain)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Engels (Groot Brittannië)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Английский (Великобритания)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"英语 （英国）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Englisch (Großbritannien)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Engelsk (Storbritannien)"}]},{"code":"en-IN","display":"English 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(Russia)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Russian (Russia)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Russisch (Rusland)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Русский (Россия)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"俄语 （俄罗斯）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Russisch (Russland)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Russisk (Rusland)"}]},{"code":"sr","display":"Serbian","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Serbian"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Servisch"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Сербский"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"塞尔维亚语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Serbisch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Serbisk"}]},{"code":"sr-RS","display":"Serbian (Serbia)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Serbian (Serbia)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Servisch (Servië)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Сербский (Сербия)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"塞尔维亚语 （塞尔维亚）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Serbisch (Serbien)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Serbisk (Serbien)"}]},{"code":"sv","display":"Swedish","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Swedish"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Zweeds"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Шведский"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"瑞典语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Schwedisch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Svensk"}]},{"code":"sv-SE","display":"Swedish (Sweden)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Swedish (Sweden)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Zweeds (Zweden)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Шведский (Швеция)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"瑞典语 （瑞典）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Schwedisch (Schweden)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Svensk (Sverige)"}]},{"code":"te","display":"Telegu","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Telegu"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Teloegoe"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Телугу"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"泰卢固语"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Telugu"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Telugu"}]},{"code":"zh","display":"Chinese","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinese"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinees"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kитайский"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"中文"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinesisch"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kinesisk"}]},{"code":"zh-CN","display":"Chinese (China)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinese (China)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinees (China)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kитайский (Китай)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"中文 （中国）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinesisch (China)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kinesisk (Kina)"}]},{"code":"zh-HK","display":"Chinese (Hong Kong)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinese (Hong Kong)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinees (Hong Kong)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kитайский (Гонконг)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"中文 （香港特别行政区）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinesisch (Hong Kong)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kinesisk (Hong Kong)"}]},{"code":"zh-SG","display":"Chinese (Singapore)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinese (Singapore)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinees (Singapore)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kитайский (Сингапур)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"中文 （新加坡）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinesisch (Singapur)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kinesisk (Singapore)"}]},{"code":"zh-TW","display":"Chinese (Taiwan)","designation":[{"language":"en","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinese (Taiwan)"},{"language":"nl","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinees (Taiwan)"},{"language":"ru","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kитайский (Тайвань)"},{"language":"zh","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"中文 （台湾）"},{"language":"de","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Chinesisch (Taiwan)"},{"language":"da","use":{"system":"http://terminology.hl7.org/CodeSystem/designation-usage","code":"display"},"value":"Kinesisk (Taiwan)"}]}]}]}}},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1085
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:45 GMT
last-modified:Fri, 07 Nov 2025 16:25:45 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096756
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:47"},{"name" : "code","valueCode" : "de-AT"},{"name" : "display","valueString" : "Deutsch (Österreich)"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n31 31: tx-op\r\n31 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Analysing\r\n31 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Parameters: disp-lang=de-DE, default-to-latest\r\n31 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: CodeSystem found: \"urn:ietf:bcp:47|\"\r\n31 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Validate \"[#de-AT (\"\")]\" and infer system\r\n31 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Check \"#de-AT\"\r\n31 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Inferred CodeSystem = \"urn:ietf:bcp:47\"\r\n31 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: CodeSystem found: urn:ietf:bcp:47| for urn:ietf:bcp:47\r\n31 0: 0ms http://hl7.org/fhir/ValueSet/languages|4.0.1: Code \"de-AT\" found in urn:ietf:bcp:47|\r\n"}]}
#47
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":"text/plain"},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"valueSet","resource":{"resourceType":"ValueSet","url":"urn:uuid:d40dde57-e2ad-4db7-ad66-57bb1a59e67f","status":"active","compose":{"include":[{"system":"urn:ietf:bcp:13"}]}}},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1092
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:46 GMT
last-modified:Fri, 07 Nov 2025 16:25:46 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096757
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:13"},{"name" : "code","valueCode" : "text/plain"},{"name" : "display","valueString" : "text/plain"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms urn:uuid:d40dde57-e2ad-4db7-ad66-57bb1a59e67f: Analysing\r\n0 0: 0ms urn:uuid:d40dde57-e2ad-4db7-ad66-57bb1a59e67f: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms urn:uuid:d40dde57-e2ad-4db7-ad66-57bb1a59e67f: CodeSystem found: \"urn:ietf:bcp:13|\"\r\n0 0: 0ms urn:uuid:d40dde57-e2ad-4db7-ad66-57bb1a59e67f: Validate \"[#text/plain (\"\")]\" and infer system\r\n0 0: 0ms urn:uuid:d40dde57-e2ad-4db7-ad66-57bb1a59e67f: Check \"#text/plain\"\r\n0 0: 0ms urn:uuid:d40dde57-e2ad-4db7-ad66-57bb1a59e67f: Inferred CodeSystem = \"urn:ietf:bcp:13\"\r\n0 0: 0ms urn:uuid:d40dde57-e2ad-4db7-ad66-57bb1a59e67f: CodeSystem found: urn:ietf:bcp:13| for urn:ietf:bcp:13\r\n0 0: 0ms urn:uuid:d40dde57-e2ad-4db7-ad66-57bb1a59e67f: Code \"text/plain\" found in urn:ietf:bcp:13|\r\n"}]}
#48
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":"text/plain"},{"name":"displayLanguage","valueString":"de-DE"},{"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":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1084
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:46 GMT
last-modified:Fri, 07 Nov 2025 16:25:46 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096758
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "urn:ietf:bcp:13"},{"name" : "code","valueCode" : "text/plain"},{"name" : "display","valueString" : "text/plain"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: CodeSystem found: \"urn:ietf:bcp:13|\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Validate \"[#text/plain (\"\")]\" and infer system\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Check \"#text/plain\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Inferred CodeSystem = \"urn:ietf:bcp:13\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: CodeSystem found: urn:ietf:bcp:13| for urn:ietf:bcp:13\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/mimetypes|4.0.1: Code \"text/plain\" found in urn:ietf:bcp:13|\r\n"}]}
#49
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-Confidentiality","version":"4.0.1","code":"N","display":"normal"}},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1603
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:46 GMT
last-modified:Fri, 07 Nov 2025 16:25:46 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096759
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"},{"name" : "code","valueCode" : "N"},{"name" : "version","valueString" : "3.0.0"},{"name" : "display","valueString" : "normal"},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "NO_VALID_DISPLAY_FOUND_LANG_NONE"}],"severity" : "information","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "display-comment"}],"text" : "'normal' is the default display; the code system http://terminology.hl7.org/CodeSystem/v3-Confidentiality has no Display Names for the language de-DE"},"location" : ["Coding.display"],"expression" : ["Coding.display"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n0 0: tx-op\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://terminology.hl7.org/CodeSystem/v3-Confidentiality|4.0.1#N (\"normal\")]\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://terminology.hl7.org/CodeSystem/v3-Confidentiality|4.0.1#N\"\r\n0 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://terminology.hl7.org/CodeSystem/v3-Confidentiality|3.0.0 (from hl7.terminology.r4#6.5.0)\" (content = complete)\r\n"}]}
#50
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
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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. See 45 CFR Section 164.514.\r\n\r\nThis metadata indicates that the receiver may have an obligation to comply with a data use agreement with the discloser. The discloser may have obligations to comply with policies dictating the methods for de-identification.\r\n\r\nConfidentiality code total order hierarchy: Low (L) is less protective than *V, R, N,* and *M*, and subsumes *U*.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10234"}]},{"code":"M","display":"moderate","definition":"Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a moderate risk of harm to an individual's reputation and sense of privacy.\r\n\r\n*Usage Note:* The level of protection afforded moderately confidential information is dictated by privacy policies intended to engender trust in a service provider. 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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. 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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"},{"code":"internalId","valueCode":"21049"}],"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"},{"code":"internalId","valueCode":"21050"}],"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"},{"code":"internalId","valueCode":"21051"}],"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":"9.0.0","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. 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Only included as a derived relationship.","type":"Coding"},{"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":"internalId","uri":"http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id","description":"The internal identifier for the concept in the HL7 Access database repository.","type":"code"},{"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":"internalId","valueCode":"20849"}]},{"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":"internalId","valueCode":"20850"}]},{"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":"internalId","valueCode":"20853"}]},{"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":"internalId","valueCode":"21993"}]},{"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":"internalId","valueCode":"20857"}]},{"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":"internalId","valueCode":"20858"}]},{"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":"internalId","valueCode":"21825"}]},{"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":"internalId","valueCode":"23004"}]},{"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":"internalId","valueCode":"22199"}]},{"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":"internalId","valueCode":"20860"}]},{"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":"internalId","valueCode":"20861"}]},{"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":"internalId","valueCode":"20863"}]},{"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":"internalId","valueCode":"20865"}]},{"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":"internalId","valueCode":"22096"}]},{"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":"internalId","valueCode":"20867"}]},{"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":"internalId","valueCode":"22353"}]},{"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":"internalId","valueCode":"20872"}]},{"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":"internalId","valueCode":"20873"}]},{"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":"internalId","valueCode":"22244"}]},{"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":"internalId","valueCode":"22332"}]},{"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":"internalId","valueCode":"22386"}]},{"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":"internalId","valueCode":"20888"}]},{"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":"internalId","valueCode":"20889"}]},{"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":"internalId","valueCode":"20892"}]},{"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":"internalId","valueCode":"20895"}]},{"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":"internalId","valueCode":"20897"}]},{"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":"internalId","valueCode":"22387"}]},{"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":"internalId","valueCode":"21907"}]},{"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":"internalId","valueCode":"20900"}]},{"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":"internalId","valueCode":"20901"}]},{"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":"internalId","valueCode":"22182"}]},{"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":"internalId","valueCode":"20903"}]},{"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":"internalId","valueCode":"22388"}]},{"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":"internalId","valueCode":"20905"}]},{"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":"internalId","valueCode":"21517"}]},{"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":"internalId","valueCode":"22047"}]},{"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":"internalId","valueCode":"21545"}]},{"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":"internalId","valueCode":"20930"}]},{"code":"_ROIOverlayShape","display":"ROIOverlayShape","definition":"Shape of the region on the object being referenced","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"20931"}]},{"code":"C","display":"corrected","definition":"**Description:**Indicates that result data has been corrected.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"22831"}]},{"code":"DIET","display":"Diet","definition":"Code set to define specialized/allowed diets","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"10376"}]},{"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":"internalId","valueCode":"22132"}]},{"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":"internalId","valueCode":"22830"}]},{"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":"internalId","valueCode":"22829"}]},{"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":"internalId","valueCode":"23471"}]},{"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":"internalId","valueCode":"22138"}]},{"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":"internalId","valueCode":"22146"}]},{"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":"internalId","valueCode":"20852"}]},{"code":"_ActBillableTreatmentPlanCode","display":"ActBillableTreatmentPlanCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20856"}]},{"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":"internalId","valueCode":"21511"}]},{"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":"internalId","valueCode":"22267"}]},{"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":"internalId","valueCode":"20899"}]},{"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":"internalId","valueCode":"21535"}]},{"code":"_ActProcedureCode","display":"ActProcedureCode","definition":"An identifying code for healthcare interventions/procedures.","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20902"}]},{"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":"internalId","valueCode":"20904"}]},{"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":"internalId","valueCode":"22641"}]},{"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":"internalId","valueCode":"22095"}]},{"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":"internalId","valueCode":"22176"}]},{"code":"_ExternallyDefinedActCodes","display":"ExternallyDefinedActCodes","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20919"}]},{"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":"internalId","valueCode":"20921"}]},{"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":"internalId","valueCode":"22078"}]},{"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":"internalId","valueCode":"22079"}]},{"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":"internalId","valueCode":"22046"}]},{"code":"COPAY","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17501"}]},{"code":"DEDUCT","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17500"}]},{"code":"DOSEIND","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"17793"}]},{"code":"PRA","property":[{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"16675"}]},{"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":"internalId","valueCode":"21456"}]},{"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":"internalId","valueCode":"21361"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"CASH","display":"Cash","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"14810"},{"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":"internalId","valueCode":"23013"},{"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":"internalId","valueCode":"21301"},{"code":"subsumedBy","valueCode":"_ActAccountCode"}]},{"code":"_CreditCard","display":"CreditCard","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"retired"},{"code":"internalId","valueCode":"20912"},{"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":"internalId","valueCode":"20851"},{"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":"internalId","valueCode":"19347"},{"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":"internalId","valueCode":"17619"},{"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":"internalId","valueCode":"17617"},{"code":"subsumedBy","valueCode":"_ActAdjudicationCode"}]},{"code":"CONT","display":"contract","definition":"Transaction counts and value totals by Contract Identifier.","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"17974"},{"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":"internalId","valueCode":"17969"},{"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":"internalId","valueCode":"17976"},{"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":"internalId","valueCode":"17970"},{"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":"internalId","valueCode":"17971"},{"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":"internalId","valueCode":"17975"},{"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":"internalId","valueCode":"17972"},{"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":"internalId","valueCode":"17973"},{"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":"internalId","valueCode":"17475"},{"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":"internalId","valueCode":"17473"},{"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":"internalId","valueCode":"21390"},{"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":"internalId","valueCode":"23274"},{"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":"internalId","valueCode":"21651"},{"code":"subsumedBy","valueCode":"_ActAdministrativeAuthorizationDetectedIssueCode"}]},{"code":"_ActAdministrativeAuthorizationDetectedIssueCode","display":"ActAdministrativeAuthorizationDetectedIssueCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21389"},{"code":"subsumedBy","valueCode":"_ActAdministrativeDetectedIssueCode"}]},{"code":"_ActAdministrativeRuleDetectedIssueCode","display":"ActAdministrativeRuleDetectedIssueCode","property":[{"code":"notSelectable","valueBoolean":true},{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"21391"},{"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":"internalId","valueCode":"21387"},{"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":"internalId","valueCode":"21392"},{"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":"internalId","valueCode":"21393"},{"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":"internalId","valueCode":"23272"},{"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":"internalId","valueCode":"23275"},{"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":"internalId","valueCode":"22151"},{"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":"internalId","valueCode":"22150"},{"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":"internalId","valueCode":"22219"},{"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":"internalId","valueCode":"22220"},{"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":"internalId","valueCode":"17480"},{"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":"internalId","valueCode":"17484"},{"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":"internalId","valueCode":"17481"},{"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":"internalId","valueCode":"19723"},{"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":"internalId","valueCode":"17482"},{"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":"internalId","valueCode":"17483"},{"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":"internalId","valueCode":"17479"},{"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":"internalId","valueCode":"17897"},{"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":"internalId","valueCode":"17898"},{"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":"internalId","valueCode":"21826"},{"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":"internalId","valueCode":"20869"},{"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":"internalId","valueCode":"20896"},{"code":"subsumedBy","valueCode":"_ActCareProvisionCode"}]},{"code":"AUTOATTCH","display":"auto attachment","definition":"**Description:** Automobile Information Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23012"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"DOCUMENT","display":"document","definition":"**Description:** Document Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23008"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"HEALTHREC","display":"health record","definition":"**Description:** Health Record Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23010"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"IMG","display":"image attachment","definition":"**Description:** Image Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23006"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"LABRESULTS","display":"lab results","definition":"**Description:** Lab Results Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23009"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"MODEL","display":"model","definition":"**Description:** Digital Model Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23007"},{"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":"internalId","valueCode":"23011"},{"code":"subsumedBy","valueCode":"_ActClaimAttachmentCategoryCode"}]},{"code":"XRAY","display":"x-ray","definition":"**Description:** Digital X-Ray Attachment","property":[{"code":"status","valueCode":"active"},{"code":"internalId","valueCode":"23005"},{"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":"internalId","valueCode":"24107"},{"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":"internalId","valueCode":"24108"},{"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":"internalId","valueCode":"23325"},{"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":"internalId","valueCode":"23754"},{"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":"internalId","valueCode":"23755"},{"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":"internalId","valueCode":"23756"},{"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":"internalId","valueCode":"23757"},{"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":"internalId","valueCode":"23370"},{"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":"internalId","valueCode":"23326"},{"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":"internalId","valueCode":"23758"},{"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 protec
200
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date:Fri, 07 Nov 2025 16:25:47 GMT
last-modified:Fri, 07 Nov 2025 16:25:47 GMT
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{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : false},{"name" : "system","valueUri" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"},{"name" : "code","valueCode" : "N"},{"name" : "version","valueString" : "3.0.0"},{"name" : "display","valueString" : "normal"},{"name" : "message","valueString" : "The code system 'http://terminology.hl7.org/CodeSystem/v3-Confidentiality' version '3.0.0' for the versionless include in the ValueSet include is different to the one in the value ('4.0.1')"},{"name" : "codeableConcept","valueCodeableConcept" : {"coding" : [{"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality","version" : "4.0.1","code" : "N","display" : "normal"}]}},{"name" : "issues","resource" : {"resourceType" : "OperationOutcome","issue" : [{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "VALUESET_VALUE_MISMATCH_DEFAULT"}],"severity" : "error","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "vs-invalid"}],"text" : "The code system 'http://terminology.hl7.org/CodeSystem/v3-Confidentiality' version '3.0.0' for the versionless include in the ValueSet include is different to the one in the value ('4.0.1')"},"location" : ["CodeableConcept.coding[0].version"],"expression" : ["CodeableConcept.coding[0].version"]},{"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id","valueString" : "NO_VALID_DISPLAY_FOUND_LANG_NONE"}],"severity" : "information","code" : "invalid","details" : {"coding" : [{"system" : "http://hl7.org/fhir/tools/CodeSystem/tx-issue-type","code" : "display-comment"}],"text" : "'normal' is the default display; the code system http://terminology.hl7.org/CodeSystem/v3-Confidentiality has no Display Names for the language de-DE"},"location" : ["CodeableConcept.coding[0].display"],"expression" : ["CodeableConcept.coding[0].display"]}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n703 703: tx-op\r\n703 0: 0ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Analysing\r\n703 0: 0ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Parameters: disp-lang=de-DE, default-to-latest\r\n703 0: tx-op\r\n703 0: 0ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: Analysing\r\n703 0: 0ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: Parameters: disp-lang=de-DE, default-to-latest\r\n703 0: 0ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-Confidentiality|3.0.0\"\r\n703 0: tx-op\r\n703 0: 0ms http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy|3.0.0: Analysing\r\n703 0: 0ms http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n750 47: 47ms http://terminology.hl7.org/ValueSet/v3-InformationSensitivityPolicy|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0\"\r\n750 0: tx-op\r\n750 0: 47ms http://terminology.hl7.org/ValueSet/v3-Compartment|3.0.0: Analysing\r\n750 0: 47ms http://terminology.hl7.org/ValueSet/v3-Compartment|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n750 0: 47ms http://terminology.hl7.org/ValueSet/v3-Compartment|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0\"\r\n750 0: tx-op\r\n750 0: 47ms http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue|3.1.0: Analysing\r\n750 0: 47ms http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue|3.1.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n766 16: 63ms http://terminology.hl7.org/ValueSet/v3-SecurityIntegrityObservationValue|3.1.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0\"\r\n766 0: tx-op\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue|3.0.0: Analysing\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n766 0: tx-op\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-SecurityPolicy|3.0.0: Analysing\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-SecurityPolicy|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-SecurityPolicy|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0\"\r\n766 0: tx-op\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-ObligationPolicy|3.0.0: Analysing\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-ObligationPolicy|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-ObligationPolicy|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0\"\r\n766 0: tx-op\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|3.0.0: Analysing\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActCode|9.0.0\"\r\n766 0: tx-op\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0: Analysing\r\n766 0: 63ms http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n781 15: 78ms http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActReason|3.1.0\"\r\n781 0: tx-op\r\n781 0: 78ms http://terminology.hl7.org/ValueSet/v3-GeneralPurposeOfUse|3.0.0: Analysing\r\n781 0: 78ms http://terminology.hl7.org/ValueSet/v3-GeneralPurposeOfUse|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n781 0: 78ms http://terminology.hl7.org/ValueSet/v3-GeneralPurposeOfUse|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActReason|3.1.0\"\r\n781 0: 78ms http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ObservationValue|4.0.0\"\r\n781 0: tx-op\r\n781 0: 78ms http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|3.0.0: Analysing\r\n781 0: 78ms http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|3.0.0: Parameters: http-lang=en, disp-lang=de-DE, default-to-latest\r\n781 0: 78ms http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw|3.0.0: CodeSystem found: \"http://terminology.hl7.org/CodeSystem/v3-ActUSPrivacyLaw|3.0.0\"\r\n781 0: 78ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Validate \"[http://terminology.hl7.org/CodeSystem/v3-Confidentiality|4.0.1#N (\"normal\")]\"\r\n781 0: 78ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Check \"http://terminology.hl7.org/CodeSystem/v3-Confidentiality|4.0.1#N\"\r\n781 0: 78ms http://hl7.org/fhir/ValueSet/security-labels|4.0.1: Check included value set http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification\r\n781 0: 78ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: Check \"http://terminology.hl7.org/CodeSystem/v3-Confidentiality|4.0.1#N\"\r\n781 0: 78ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: CodeSystem found: http://terminology.hl7.org/CodeSystem/v3-Confidentiality|3.0.0 for http://terminology.hl7.org/CodeSystem/v3-Confidentiality\r\n781 0: 78ms http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26: Code \"N\" found in http://terminology.hl7.org/CodeSystem/v3-Confidentiality|3.0.0\r\n"}]}
#51
GET https://tx.fhir.org/r4/ValueSet?_format=json&url=http%3A%2F%2Fdicom.nema.org%2Fmedical%2Fdicom%2Fcurrent%2Foutput%2Fchtml%2Fpart16%2Fsect_CID_29.html HTTP/1.0 User-Agent: hapi-fhir-tooling-client Accept: application/fhir+json; fhirVersion=4.0
200
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date:Fri, 07 Nov 2025 16:25:47 GMT
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{"resourceType" : "Bundle","id" : "11df8c3d-fcde-40d5-87b5-2a56f1431d","meta" : {"lastUpdated" : "2025-11-07T16:25:47.331Z"},"type" : "searchset","total" : 1,"link" : [{"relation" : "self","url" : "ValueSet?&url=http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"}],"entry" : [{"fullUrl" : "http://tx.fhir.org/r4/ValueSet/dicom-cid-29-AcquisitionModality","resource" : {"resourceType" : "ValueSet","id" : "dicom-cid-29-AcquisitionModality","url" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html","identifier" : [{"system" : "urn:ietf:rfc:3986","value" : "urn:oid:1.2.840.10008.6.1.19"}],"version" : "2025.3.20250714","name" : "AcquisitionModality","status" : "active","experimental" : false,"date" : "2025-07-14","publisher" : "NEMA MITA DICOM","description" : "Transitive closure of CID 29 AcquisitionModality","copyright" : "© 2025 NEMA","compose" : {"include" : [{"system" : "http://dicom.nema.org/resources/ontology/DCM","concept" : [{"code" : "BMD","display" : "Bone Mineral Densitometry"},{"code" : "SM","display" : "Slide Microscopy"},{"code" : "EOG","display" : "Electrooculography"},{"code" : "OP","display" : "Ophthalmic Photography"},{"code" : "GM","display" : "General Microscopy"},{"code" : "ECG","display" : "Electrocardiography"},{"code" : "XA","display" : "X-Ray Angiography"},{"code" : "XC","display" : "External-camera Photography"},{"code" : "DMS","display" : "Dermoscopy"},{"code" : "IVUS","display" : "Intravascular Ultrasound"},{"code" : "CR","display" : "Computed Radiography"},{"code" : "CT","display" : "Computed Tomography"},{"code" : "PA","display" : "Photoacoustic"},{"code" : "OSS","display" : "Optical Surface Scanner"},{"code" : "TG","display" : "Thermography"},{"code" : "LEN","display" : "Lensometry"},{"code" : "OPTENF","display" : "Ophthalmic Tomography En Face"},{"code" : "HD","display" : "Hemodynamic"},{"code" : "OCT","display" : "Optical Coherence Tomography"},{"code" : "BDUS","display" : "Ultrasound Bone Densitometry"},{"code" : "DG","display" : "Diaphanography"},{"code" : "PT","display" : "Positron emission tomography"},{"code" : "LS","display" : "Laser surface scan"},{"code" : "EPS","display" : "Cardiac Electrophysiology"},{"code" : "PX","display" : "Panoramic X-Ray"},{"code" : "OPM","display" : "Ophthalmic Mapping"},{"code" : "OPTBSV","display" : "Ophthalmic Tomography B-scan Volume Analysis"},{"code" : "OPV","display" : "Ophthalmic Visual Field"},{"code" : "DX","display" : "Digital Radiography"},{"code" : "OPT","display" : "Ophthalmic Tomography"},{"code" : "MG","display" : "Mammography"},{"code" : "US","display" : "Ultrasound"},{"code" : "IVOCT","display" : "Intravascular Optical Coherence Tomography"},{"code" : "EMG","display" : "Electromyography"},{"code" : "MR","display" : "Magnetic Resonance"},{"code" : "IO","display" : "Intra-oral Radiography"},{"code" : "EEG","display" : "Electroencephalography"},{"code" : "RTIMAGE","display" : "RT Image"},{"code" : "VA","display" : "Visual Acuity"},{"code" : "RESP","display" : "Respiratory"},{"code" : "ES","display" : "Endoscopy"},{"code" : "AR","display" : "Autorefraction"},{"code" : "POS","display" : "Position Sensor"},{"code" : "RG","display" : "Radiographic imaging"},{"code" : "RF","display" : "Radiofluoroscopy"},{"code" : "KER","display" : "Keratometry"},{"code" : "OAM","display" : "Ophthalmic Axial Measurements"},{"code" : "NM","display" : "Nuclear Medicine"},{"code" : "BI","display" : "Biomagnetic Imaging"},{"code" : "SRF","display" : "Subjective Refraction"},{"code" : "CFM","display" : "Confocal Microscopy"}]}]}}}]}
#52
GET https://tx.fhir.org/r4/ValueSet/dicom-cid-29-AcquisitionModality HTTP/1.0 Accept: application/fhir+json; fhirVersion=4.0 User-Agent: fhir/publisher
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#54
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#55
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Darunter fallen sowohl Kur-Einrichtungen und Reha-Kliniken als auch dezentrale Organisationsformen aus dem ambulanten Sektor."}],"code":"REH","display":"Medizinische Rehabilitation"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Von nicht-ärztlichen Heilberuflern betriebene Einrichtungen zur Beratung, Therapie oder Betreuung. Darunter fallen Praxen von Heilpraktikerinnen, Physiotherapeutinnen, Ergotherapeutinnen, Podologinnen, Masseurinnen, Logopädinnen, Sprachtherapeutinnen, Diätassistentinnen, sowie human-medizinische Beratungsstellen. Auch nicht-ärztliche psychotherapeutische Praxen, z.B. von Diplom oder Master-Psychologen, gehören dazu. Dokumente von freiberuflichen Hebammen fallen nicht in diese Gruppe, sondern sind mit dem Konzept für HEB \"Hebamme/Geburtshaus\" zu kennzeichnen. Dokumente von Pflegediensten oder freiberuflichen Pflegekräften fallen nicht in diese Gruppe sondern sind mit dem Konzept APD \u00a0\"Ambulante Pflegedienste\" zu kennzeichnen."}],"code":"HEI","display":"Nicht-ärztliche Heilberufs-Praxis"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Eine Einrichtung zur Unterbringung und Versorgung pflegebedürftiger Menschen. Umfasst Altenpflegeheime und Pflegeheime für Menschen mit Behinderung. Die Einrichtungen versorgen Menschen üblicherweise langfristig, aber auch Kurzzeitpflege der genannten Personengruppen ist durch dieses Konzept abgedeckt."}],"code":"PFL","display":"Pflegeheim"},{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/valueset-concept-comments","valueString":"Einrichtungen des zivilen Rettungsdienst, wie z.B. 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Zu den Krankenhäusern gehören hierbei auch Zahnkliniken. Zusätzlich fallen unter diesen Wert auch Krankenhäuser auf die das KHG keine Anwendung findet (siehe §3, z.B. im Straf- oder Maßregelvollzug, Polizeikrankenhäuser, Bundeswehrkrankenhäuser...), solange es sich nicht um Einrichtungen der medizinischen Rehabilitation handelt. Für Dokumente aus der Abteilung Krankenhausapotheke oder aus Krankenhausambulanzen sollte immer das Konzept KHS \"Krankenhaus\" verwendet werden. Auch bei vornehmlich telemedizinisch erbrachten Leistungen eines Krankenhauses (z.B. Teleradiologie) sollte das Konzept KHS \"Krankenhaus\"\" verwendet werden. Für angeschlossene, aber selbständige Einrichtungen, wie z.B. ein zum Krankenhaus gehöriges MVZ oder Hospiz, sollte dieses Konzept (KHS \"Krankenhaus\"), sondern ein spezifischeres Konzept für den Einrichtungstyp verwendet werden. Dazu zählen auch ausgegründete Labore, die als Arztpraxis abgebildet werden, da sie eine entsprechende KV-Zulassung benötigen. Psychotherapeutische, psychiatrische und psychosomatische Abteilungen von Krankenhäusern und eigenständige Fachkliniken aus diesem Bereich werden auch mit diesem Wert abgedeckt, unabhängig davon ob die Dienste stationär, als Tagesklinik oder ambulant angeboten werden."},{"code":"MVZ","display":"Medizinisches Versorgungszentrum","definition":"Einrichtung zur ambulanten medizinischen Versorgung nach §95 SGB V; dieses Konzept sollte für ein MVZ unabhängig von der Besitzerstruktur gewählt werden, d.h. auch MVZ die einem Krankenhaus gehören, sollten als MVZ gekennzeichnet werden."},{"code":"HAN","display":"Medizinisch-technisches Handwerk","definition":"Eine Einrichtung des medizinisch-technischen Handwerks, wie Augenoptiker, Hörakustiker-Fachgeschäft, Diätkoch, Orthopädische Schuhmacher, sowie Orthopädische Fachgeschäfte und Sanitätshäuser."},{"code":"REH","display":"Medizinische Rehabilitation","definition":"Eine ambulante, teilstationäre oder stationäre Einrichtung der medizinischen Rehabilitation unter ärztlicher Leitung. Darunter fallen sowohl Kur-Einrichtungen und Reha-Kliniken als auch dezentrale Organisationsformen aus dem ambulanten Sektor."},{"code":"HEI","display":"Nicht-ärztliche Heilberufs-Praxis","definition":"Von nicht-ärztlichen Heilberuflern betriebene Einrichtungen zur Beratung, Therapie oder Betreuung. Darunter fallen Praxen von Heilpraktikerinnen, Physiotherapeutinnen, Ergotherapeutinnen, Podologinnen, Masseurinnen, Logopädinnen, Sprachtherapeutinnen, Diätassistentinnen, sowie human-medizinische Beratungsstellen. Auch nicht-ärztliche psychotherapeutische Praxen, z.B. von Diplom oder Master-Psychologen, gehören dazu. Dokumente von freiberuflichen Hebammen fallen nicht in diese Gruppe, sondern sind mit dem Konzept für HEB \"Hebamme/Geburtshaus\" zu kennzeichnen. 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{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung"},{"name" : "code","valueCode" : "KHS"},{"name" : "version","valueString" : "2018-07-13T16:21:42"},{"name" : "display","valueString" : "Krankenhaus"},{"name" : "codeableConcept","valueCodeableConcept" : {"coding" : [{"system" : "http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung","code" : "KHS"}]}},{"name" : "diagnostics","valueString" : "0 0 : start\r\n109 109: tx-op\r\n109 0: 0ms https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-einrichtungsart|2026.0.0-ballot: Analysing\r\n109 0: 0ms https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-einrichtungsart|2026.0.0-ballot: Parameters: http-lang=de-DE, disp-lang=de-DE, default-to-latest\r\n109 0: 0ms https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-einrichtungsart|2026.0.0-ballot: CodeSystem found: \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\"\r\n109 0: 0ms https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-einrichtungsart|2026.0.0-ballot: CodeSystem found: \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\"\r\n109 0: 0ms https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-einrichtungsart|2026.0.0-ballot: CodeSystem found: \"http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201\"\r\n109 0: tx-op\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode|2021-07-06T21:23:52: Analysing\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode|2021-07-06T21:23:52: Parameters: http-lang=de-DE, disp-lang=de-DE, default-to-latest\r\n109 0: tx-op\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCodePatientRelatedHealthcare|2018-07-13T16:21:42: Analysing\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCodePatientRelatedHealthcare|2018-07-13T16:21:42: Parameters: http-lang=de-DE, disp-lang=de-DE, default-to-latest\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCodePatientRelatedHealthcare|2018-07-13T16:21:42: CodeSystem found: \"http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung|2018-07-13T16:21:42\"\r\n109 0: tx-op\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCodeOutsidePatientRelatedHealthcare|2018-07-13T16:21:25: Analysing\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCodeOutsidePatientRelatedHealthcare|2018-07-13T16:21:25: Parameters: http-lang=de-DE, disp-lang=de-DE, default-to-latest\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCodeOutsidePatientRelatedHealthcare|2018-07-13T16:21:25: CodeSystem found: \"http://ihe-d.de/CodeSystems/NichtPatientBezogeneGesundheitsversorgung|2018-07-13T16:21:25\"\r\n109 0: 0ms https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-einrichtungsart|2026.0.0-ballot: Validate \"[http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung#KHS (\"\")]\"\r\n109 0: 0ms https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-einrichtungsart|2026.0.0-ballot: Check \"http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung#KHS\"\r\n109 0: 0ms https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ValueSet/mii-vs-dokument-einrichtungsart|2026.0.0-ballot: Check included value set http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode|2021-07-06T21:23:52: Check \"http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung#KHS\"\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode|2021-07-06T21:23:52: Check included value set http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCodePatientRelatedHealthcare\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCodePatientRelatedHealthcare|2018-07-13T16:21:42: Check \"http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung#KHS\"\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCodePatientRelatedHealthcare|2018-07-13T16:21:42: CodeSystem found: http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung|2018-07-13T16:21:42 for http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung\r\n109 0: 0ms http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCodePatientRelatedHealthcare|2018-07-13T16:21:42: Code \"KHS\" found in http://ihe-d.de/CodeSystems/PatientBezogenenGesundheitsversorgung|2018-07-13T16:21:42\r\n"}]}
#56
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://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel","code":"0900","display":"Rheumatologie"}},{"name":"displayLanguage","valueString":"de-DE"},{"name":"default-to-latest-version","valueBoolean":true},{"name":"tx-resource","resource":{"resourceType":"CodeSystem","id":"Fachabteilungsschluessel","meta":{"profile":["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]},"url":"http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel","version":"1.5.4","name":"CodeSystemFachabteilungsschluessel","title":"Fachabteilungsschluessel","status":"active","experimental":false,"date":"2025-06-16","publisher":"HL7 Deutschland e.V. (Technisches Komitee FHIR)","contact":[{"telecom":[{"system":"url","value":"http://hl7.de/technische-komitees/fhir/"}]}],"description":"Fachabteilungen gemäß Anhang 1 der BPflV in der am 31.12.2003 geltenden Fassung","copyright":"HL7 Deutschland e.V.","caseSensitive":false,"content":"fragment","concept":[{"code":"0100","display":"Innere Medizin"},{"code":"0200","display":"Geriatrie"},{"code":"0300","display":"Kardiologie"},{"code":"0400","display":"Nephrologie"},{"code":"0500","display":"Hämatologie und internistische Onkologie"},{"code":"0600","display":"Endokrinologie"},{"code":"0700","display":"Gastroenterologie"},{"code":"0800","display":"Pneumologie"},{"code":"0900","display":"Rheumatologie"},{"code":"1000","display":"Pädiatrie"},{"code":"1100","display":"Kinderkardiologie"},{"code":"1200","display":"Neonatologie"},{"code":"1300","display":"Kinderchirurgie"},{"code":"1400","display":"Lungen- und Bronchialheilkunde"},{"code":"1500","display":"Allgemeine Chirurgie"},{"code":"1600","display":"Unfallchirurgie"},{"code":"1700","display":"Neurochirurgie"},{"code":"1800","display":"Gefäßchirurgie"},{"code":"1900","display":"Plastische Chirurgie"},{"code":"2000","display":"Thoraxchirurgie"},{"code":"2100","display":"Herzchirurgie"},{"code":"2200","display":"Urologie"},{"code":"2300","display":"Orthopädie"},{"code":"2400","display":"Frauenheilkunde und Geburtshilfe"},{"code":"2500","display":"Geburtshilfe"},{"code":"2600","display":"Hals-, Nasen-, Ohrenheilkunde"},{"code":"2700","display":"Augenheilkunde"},{"code":"2800","display":"Neurologie"},{"code":"2900","display":"Allgemeine Psychiatrie"},{"code":"3000","display":"Kinder- und Jugendpsychiatrie"},{"code":"3100","display":"Psychosomatik/Psychotherapie"},{"code":"3200","display":"Nuklearmedizin"},{"code":"3300","display":"Strahlenheilkunde"},{"code":"3400","display":"Dermatologie"},{"code":"3500","display":"Zahn- und Kieferheilkunde, Mund- und Kieferchirurgie"},{"code":"3600","display":"Intensivmedizin"},{"code":"2316","display":"Orthopädie und Unfallchirurgie"},{"code":"2425","display":"Frauenheilkunde"},{"code":"3700","display":"Sonstige Fachabteilung"}]}},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"diagnostics","valueBoolean":true}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:964
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:47 GMT
last-modified:Fri, 07 Nov 2025 16:25:47 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096770
{"resourceType" : "Parameters","parameter" : [{"name" : "result","valueBoolean" : true},{"name" : "system","valueUri" : "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel"},{"name" : "code","valueCode" : "0900"},{"name" : "version","valueString" : "1.5.4"},{"name" : "display","valueString" : "Rheumatologie"},{"name" : "diagnostics","valueString" : "0 0 : start\r\n16 16: tx-op\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/@all: Analysing\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/@all: Parameters: disp-lang=de-DE, default-to-latest\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/@all: Validate \"[http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel#0900 (\"Rheumatologie\")]\"\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/@all: Check \"http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel#0900\"\r\n16 0: 0ms http://hl7.org/fhir/ValueSet/@all: Using CodeSystem \"http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel|1.5.4\" (content = fragment)\r\n"}]}
#57
POST https://tx.fhir.org/r4/ValueSet/$expand 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":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"de-DE"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":false},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"descendent-of","value":"440654001"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:1061
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:55 GMT
last-modified:Fri, 07 Nov 2025 16:25:55 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096782
{"resourceType" : "ValueSet","status" : "active","expansion" : {"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/valueset-unclosed","valueBoolean" : true}],"identifier" : "urn:uuid:bf19e010-111a-4721-99a0-10dba4a9fb80","timestamp" : "2025-11-07T16:25:55.409Z","offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : false},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}],"contains" : [{"system" : "http://snomed.info/sct","code" : "25731000087105","display" : "Inpatient acute care environment"},{"system" : "http://snomed.info/sct","code" : "25751000087101","display" : "Inpatient mental health environment (environment)"},{"system" : "http://snomed.info/sct","code" : "25761000087103","display" : "Inpatient palliative care environment"},{"system" : "http://snomed.info/sct","code" : "25771000087107","display" : "Inpatient rehabilitation environment (environment)"}]}}
#58
POST https://tx.fhir.org/r4/ValueSet/$expand 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":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"de-DE"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"descendent-of","value":"440655000"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:4562
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:55 GMT
last-modified:Fri, 07 Nov 2025 16:25:55 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096783
{"resourceType" : "ValueSet","status" : "active","expansion" : {"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/valueset-unclosed","valueBoolean" : true}],"identifier" : "urn:uuid:5b7e4bcb-ca96-4951-84c8-add1a24c9e67","timestamp" : "2025-11-07T16:25:55.487Z","offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : true},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}],"contains" : [{"system" : "http://snomed.info/sct","code" : "331006","display" : "Hospital-based outpatient rheumatology clinic"},{"system" : "http://snomed.info/sct","code" : "1814000","display" : "Hospital-based outpatient geriatric clinic"},{"system" : "http://snomed.info/sct","code" : "2849009","display" : "Hospital-based outpatient infectious disease clinic"},{"system" : "http://snomed.info/sct","code" : "3729002","display" : "Hospital-based outpatient pediatric clinic"},{"system" : "http://snomed.info/sct","code" : "5584006","display" : "Hospital-based outpatient peripheral vascular clinic"},{"system" : "http://snomed.info/sct","code" : "10206005","display" : "Hospital-based outpatient dental clinic"},{"system" : "http://snomed.info/sct","code" : "14866005","display" : "Hospital-based outpatient mental health clinic"},{"system" : "http://snomed.info/sct","code" : "22549003","display" : "Hospital-based outpatient gynecology clinic"},{"system" : "http://snomed.info/sct","code" : "23392004","display" : "Hospital-based outpatient otorhinolaryngology clinic"},{"system" : "http://snomed.info/sct","code" : "25567001","display" : "Hospital-based outpatient breast clinic"},{"system" : "http://snomed.info/sct","code" : "31628002","display" : "Hospital-based outpatient family medicine clinic"},{"system" : "http://snomed.info/sct","code" : "33022008","display" : "Hospital-based outpatient department"},{"system" : "http://snomed.info/sct","code" : "36293008","display" : "Hospital-based outpatient pain clinic"},{"system" : "http://snomed.info/sct","code" : "37546005","display" : "Hospital-based outpatient rehabilitation clinic"},{"system" : "http://snomed.info/sct","code" : "37550003","display" : "Hospital-based outpatient dermatology clinic"},{"system" : "http://snomed.info/sct","code" : "38238005","display" : "Hospital-based outpatient neurology clinic"},{"system" : "http://snomed.info/sct","code" : "50569004","display" : "Hospital-based outpatient urology clinic"},{"system" : "http://snomed.info/sct","code" : "56189001","display" : "Hospital-based outpatient obstetrical clinic"},{"system" : "http://snomed.info/sct","code" : "56293002","display" : "Hospital-based outpatient hematology clinic"},{"system" : "http://snomed.info/sct","code" : "57159002","display" : "Hospital-based outpatient respiratory disease clinic"},{"system" : "http://snomed.info/sct","code" : "58482006","display" : "Hospital-based outpatient gastroenterology clinic"},{"system" : "http://snomed.info/sct","code" : "67236001","display" : "Hospital-based outpatient physical medicine clinic"},{"system" : "http://snomed.info/sct","code" : "73644007","display" : "Hospital-based outpatient endocrinology clinic"},{"system" : "http://snomed.info/sct","code" : "73770003","display" : "Hospital-based outpatient emergency care center"},{"system" : "http://snomed.info/sct","code" : "78001009","display" : "Hospital-based outpatient orthopedics clinic"},{"system" : "http://snomed.info/sct","code" : "78088001","display" : "Hospital-based outpatient ophthalmology clinic"},{"system" : "http://snomed.info/sct","code" : "89972002","display" : "Hospital-based outpatient oncology clinic"},{"system" : "http://snomed.info/sct","code" : "90484001","display" : "Hospital-based outpatient general surgery clinic"},{"system" : "http://snomed.info/sct","code" : "360957003","display" : "Hospital-based outpatient allergy clinic"},{"system" : "http://snomed.info/sct","code" : "360966004","display" : "Hospital-based outpatient immunology clinic"},{"system" : "http://snomed.info/sct","code" : "448535008","display" : "Outpatient freestanding dialysis treatment facility (environment)"},{"system" : "http://snomed.info/sct","code" : "702705002","display" : "Mobile clinic (environment)"},{"system" : "http://snomed.info/sct","code" : "722171005","display" : "Diagnostic institution (environment)"},{"system" : "http://snomed.info/sct","code" : "789741000","display" : "Outpatient dialysis treatment facility"}]}}
#59
POST https://tx.fhir.org/r4/ValueSet/$expand 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":"x-system-cache-id","valueString":"dc8fd4bc-091a-424a-8a3b-6198ef146891"},{"name":"defaultDisplayLanguage","valueCode":"de-DE"},{"name":"includeDefinition","valueBoolean":false},{"name":"excludeNested","valueBoolean":true},{"name":"cache-id","valueId":"62d192a9-f0c4-4c9a-93af-e1094e7f5b9a"},{"name":"count","valueInteger":1000},{"name":"offset","valueInteger":0},{"name":"valueSet","resource":{"resourceType":"ValueSet","status":"active","compose":{"inactive":true,"include":[{"system":"http://snomed.info/sct","filter":[{"property":"concept","op":"descendent-of","value":"43741000"}]}]}}}]}
200
access-control-allow-methods:GET, POST, PUT, PATCH, DELETE
access-control-allow-origin:*
access-control-expose-headers:Content-Location, Location
cache-control:public, max-age=600
connection:keep-alive
content-length:35050
content-type:application/fhir+json
date:Fri, 07 Nov 2025 16:25:55 GMT
last-modified:Fri, 07 Nov 2025 16:25:55 GMT
pragma:no-cache
server:nginx
x-request-id:245-1096784
{"resourceType" : "ValueSet","status" : "active","expansion" : {"extension" : [{"url" : "http://hl7.org/fhir/StructureDefinition/valueset-unclosed","valueBoolean" : true}],"identifier" : "urn:uuid:712727fb-c728-493b-869e-2b71d36b0e71","timestamp" : "2025-11-07T16:25:55.581Z","offset" : 0,"parameter" : [{"name" : "excludeNested","valueBoolean" : true},{"name" : "offset","valueInteger" : 0},{"name" : "count","valueInteger" : 1000},{"name" : "used-codesystem","valueUri" : "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"}],"contains" : [{"system" : "http://snomed.info/sct","code" : "331006","display" : "Hospital-based outpatient rheumatology clinic"},{"system" : "http://snomed.info/sct","code" : "901005","display" : "Helicopter-based care"},{"system" : "http://snomed.info/sct","code" : "1348009","display" : "Day care center"},{"system" : "http://snomed.info/sct","code" : "1526002","display" : "Free-standing breast clinic"},{"system" : "http://snomed.info/sct","code" : "1773006","display" : "Free-standing radiology facility"},{"system" : "http://snomed.info/sct","code" : "1814000","display" : "Hospital-based outpatient geriatric clinic"},{"system" : "http://snomed.info/sct","code" : "2081004","display" : "Hospital ship"},{"system" : "http://snomed.info/sct","code" : "2849009","display" : "Hospital-based outpatient infectious disease clinic"},{"system" : "http://snomed.info/sct","code" : "2961002","display" : "Aid car-based care"},{"system" : "http://snomed.info/sct","code" : "3729002","display" : "Hospital-based outpatient pediatric clinic"},{"system" : "http://snomed.info/sct","code" : "3768009","display" : "Free-standing hematology clinic"},{"system" : "http://snomed.info/sct","code" : "4322002","display" : "Military field hospital"},{"system" : "http://snomed.info/sct","code" : "6827000","display" : "Local community health center"},{"system" : "http://snomed.info/sct","code" : "10206005","display" : 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#61
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#62
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