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conceptdomains.xml
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conceptdomains.xml
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<?xml version="1.0" encoding="UTF-8"?>
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="conceptdomains"/>
<url value="http://hl7.org/fhir/ig/vocab-poc/CodeSystem/conceptdomains"/>
<name value="ConceptDomains"/>
<title value="Concept Domains"/>
<status value="active"/>
<experimental value="false"/>
<publisher value="HL7, Inc"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://github.com/grahamegrieve/vocab-poc"/>
</telecom>
</contact>
<description value="Concept Domains - includes both v2 abd v3 concept domains"/>
<copyright value="Copyright HL7. Licensed under creative commons public domain"/>
<caseSensitive value="true"/>
<hierarchyMeaning value="is-a"/>
<compositional value="false"/>
<versionNeeded value="false"/>
<content value="complete"/>
<property>
<code value="source"/>
<uri value="http://something"/>
<type value="code"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<uri value="http://somethingelse"/>
<type value="code"/>
</property>
<concept>
<code value="AcknowledgementCondition"/>
<display value="AcknowledgementCondition"/>
<definition value=" Acknowledgement Condition codes describe the conditions under which accept or application level acknowledgements are required to be returned in response to the message send operation."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="AcknowledgementDetailCode"/>
<display value="AcknowledgementDetailCode"/>
<definition value=" A site specific code indicating the specific problem being reported by this Ack Detail."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<concept>
<code value="AcknowledgementDetailNotSupportedCode"/>
<display value="AcknowledgementDetailNotSupportedCode"/>
<definition value=" Refelects rejections because elements of the communication are not supported in the current context."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="AcknowledgementDetailSyntaxErrorCode"/>
<display value="AcknowledgementDetailSyntaxErrorCode"/>
<definition value=" Reflects errors in the syntax or structure of the communication."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
</concept>
<concept>
<code value="AcknowledgementDetailType"/>
<display value="AcknowledgementDetailType"/>
<definition value=" A code identifying the specific message to be provided. A textual value may be specified as the print name, or for non-coded messages, as the original text.Discussion:
 'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'Examples:
"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<concept>
<code value="AcknowledgmentMessageType"/>
<display value="AcknowledgmentMessageType"/>
<definition value=" Identifies the the kind of information specified in the acknowledgement message. Options are: Error, Warning or Information."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
</concept>
<concept>
<code value="AcknowledgementType"/>
<display value="AcknowledgementType"/>
<definition value=" Acknowledgement code as described in HL7 message processing rules."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActAppointmentType"/>
<display value="ActAppointmentType"/>
<definition value=" Description:
Types of acts that can be scheduled. Examples:
 Follow-up appointment New referral appointment Consultation appointment Specimen Collection appointment Procedure appointment"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActClass"/>
<display value="ActClass"/>
<definition value=" A code specifying the major type of Act that this Act-instance represents. Constraints:
The classCode domain is a tightly controlled vocabulary, not an external or user-defined vocabulary. Every Act-instance must have a classCode. If the act class is not further specified, the most general Act.classCode (ACT) is used. The Act.classCode must be a generalization of the specific Act concept (e.g., as expressed in Act.code), in other words, the Act concepts conveyed in an Act must be specializations of the Act.classCode. Especially, Act.code is not a "modifier" that can alter the meaning of a class code. (See Act.code for contrast.)"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<concept>
<code value="ActClassExposure"/>
<display value="ActClassExposure"/>
<definition value=" Description:
The interaction of entities whereupon a subject entity is brought into proximity to a physical, chemical or biological agent. This includes intended exposure (e.g. administering a drug product) as well as accidental or environmental exposure. (Note: This class deals only with proximity and not the effectiveness of the exposure, i.e. not all exposed will suffer actual harm or benefit.) Examples:
Exposure to radiation, drug administration, inhalation of peanut aerosol or viral particles."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActClassGenomicObservation"/>
<display value="ActClassGenomicObservation"/>
<definition value=" Description:
An observation of genomic phenomena."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActClassPolicy"/>
<display value="ActClassPolicy"/>
<definition value=" Description:
A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on: The activity of another party The behavior of another party The manner in which an act is executed"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActClassProcedure"/>
<display value="ActClassProcedure"/>
<definition value=" An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject. Examples:
: Procedures may involve the disruption of some body surface (e.g. an incision in a surgical procedure), but they also include conservative procedures such as reduction of a luxated join, chiropractic treatment, massage, balneotherapy, acupuncture, shiatsu, etc. Outside of clinical medicine, procedures may be such things as alteration of environments (e.g. straightening rivers, draining swamps, building dams) or the repair or change of machinery etc."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActClassStorage"/>
<display value="ActClassStorage"/>
<definition value=" 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 value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="SubjectPhysicalPosition"/>
<display value="SubjectPhysicalPosition"/>
<definition value=" The spatial relationship of a subject whether human, other animal, or plant, to a frame of reference such as gravity or a collection device."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<concept>
<code value="ImagingSubjectOrientation"/>
<display value="ImagingSubjectOrientation"/>
<definition value=" A code specifying qualitatively the spatial relation between imaged object and imaging film or detector."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="SubjectBodyPosition"/>
<display value="SubjectBodyPosition"/>
<definition value=" Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
</concept>
</concept>
<concept>
<code value="ActCode"/>
<display value="ActCode"/>
<definition value=" The table that provides the detailed or rich codes for the Act classes. Open Issue:
The hierarchy has issues and several of the existing domains may be moved under this new one; this must be examined and a proposal to clean up the hierarncy in the near future is needed Open Issue:
The description of this domain seems odd and may be a leftover from long ago and needs improvement."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<concept>
<code value="ActAccountType"/>
<display value="ActAccountType"/>
<definition value=" Description:
Types of representation groupings of financial transactions that are tracked and reported together with a single balance. Examples:
 Patient billing accounts Cost center Cash"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.ACCT"/>
</property>
</concept>
<concept>
<code value="ActAdjudicationType"/>
<display value="ActAdjudicationType"/>
<definition value=" Description:
Types of 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. Examples:
 adjudicated with adjustments adjudicated as refused adjudicated as submitted"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.ADJUD"/>
</property>
<concept>
<code value="ActAdjudicationInformationCode"/>
<display value="ActAdjudicationInformationCode"/>
<definition value=" Explanatory codes that provide information derived by an Adjudicator during the course of adjudicating an Invoice. Codes from this domain are purely information and do not materially affect the adjudicated Invoice. That is, codes do not impact or explain financial adjustments to an Invoice. A companion domain (ActAdjudicationReason) includes information reasons which have a financial impact on an Invoice (claim). Example adjudication information code is 54540 - Patient has reached Plan Maximum for current year. Codes from this domain further rationalizes ActAdjudicationCodes (e.g. AA - Adjudicated with Adjustment), which are used to describe the process of adjudicating an Invoice."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.ADJUD"/>
</property>
</concept>
<concept>
<code value="ActAdjudicationResultActionType"/>
<display value="ActAdjudicationResultActionType"/>
<definition value=" Description:
Actions to be carried out by the recipient of the Adjudication Result information."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
</concept>
<concept>
<code value="ActCareProvisionCode"/>
<display value="ActCareProvisionCode"/>
<definition value=" Description:
The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.PCPR"/>
</property>
<concept>
<code value="ActCareProvisionRequestType"/>
<display value="ActCareProvisionRequestType"/>
<definition value=" Description:
Concepts identifying different types of referral requests. These concepts identify the general type of care or category of services requested. They are not used to represent the indication or diagnosis which triggered the need for the referral. E.g. Anger management service, Intensive Care service, Orthodontics service."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActCredentialedCareCode"/>
<display value="ActCredentialedCareCode"/>
<definition value=" 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. Example:
Hospital license; physician license; clinic accreditation."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<concept>
<code value="ActCredentialedCareProvisionPersonCode"/>
<display value="ActCredentialedCareProvisionPersonCode"/>
<definition value=" 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 an agency for credentialing individuals."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActCredentialedCareProvisionProgramCode"/>
<display value="ActCredentialedCareProvisionProgramCode"/>
<definition value=" 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 an agency for credentialing programs within organizations."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
</concept>
<concept>
<code value="ActEncounterType"/>
<display value="ActEncounterType"/>
<definition value=" Definition:
Concepts representing types of patient encounter such as ambulatory encounter, inpatient encounter or emergency encounter."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<concept>
<code value="ActEncounterAmbulatoryType"/>
<display value="ActEncounterAmbulatoryType"/>
<definition value=" Definition:
A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActEncounterEmergencyType"/>
<display value="ActEncounterEmergencyType"/>
<definition value=" Definition:
A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActEncounterFieldType"/>
<display value="ActEncounterFieldType"/>
<definition value=" Definition:
A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActEncounterHomeHealthType"/>
<display value="ActEncounterHomeHealthType"/>
<definition value=" Definition:
Healthcare encounter that takes place in the residence of the patient or a designee"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActEncounterInpatientType"/>
<display value="ActEncounterInpatientType"/>
<definition value=" Definition:
A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActEncounterShortStayType"/>
<display value="ActEncounterShortStayType"/>
<definition value=" Definition:
An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActEncounterVirtualType"/>
<display value="ActEncounterVirtualType"/>
<definition value=" Definition:
A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="EncounterAccident"/>
<display value="EncounterAccident"/>
<definition value="**** MISSING DEFINITIONS ****"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.ENC"/>
</property>
</concept>
</concept>
</concept>
<concept>
<code value="ActCodeProcessStep"/>
<display value="ActCodeProcessStep"/>
<definition value=" Description:
Codes for general process steps. Examples:
 lab process steps diagnostic imaging process steps etc.(Missing third example)
"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.SPCTRT"/>
</property>
<concept>
<code value="ActLabProcessCodes"/>
<display value="ActLabProcessCodes"/>
<definition value=" Codes for general laboratory process steps."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.ACT"/>
</property>
<concept>
<code value="ActInfoPersistCode"/>
<display value="ActInfoPersistCode"/>
<definition value=" The act of storing information to long term storage."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.STORE"/>
</property>
</concept>
<concept>
<code value="ActObservationVerificationCode"/>
<display value="ActObservationVerificationCode"/>
<definition value=" The act of verifying an observations. The subject act related to the observation verification (act relationship SUBJ) must be an observation (OBS)"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.OBS"/>
</property>
</concept>
<concept>
<code value="ActSpecimenAccessionCode"/>
<display value="ActSpecimenAccessionCode"/>
<definition value=" The accession act related to a specimen or group of specimens."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.ACSN"/>
</property>
</concept>
<concept>
<code value="ActSpecimenLabelCode"/>
<display value="ActSpecimenLabelCode"/>
<definition value=" The act of printing a specimen label. The printing of a label for a specimen container is a significant act in the workflow for collecting specimens."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.PROC"/>
</property>
</concept>
<concept>
<code value="ActSpecimenManifestCode"/>
<display value="ActSpecimenManifestCode"/>
<definition value=" The act of adding a specimen to a transportation manifest. For example a laboratory will pack together in a carton all the specimens to be shipped to a reference lab. An electronic manifest showing all the specimens in the shippment is communicated to the reference lab."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.TRNS"/>
</property>
</concept>
<concept>
<code value="ActSpecimenTransportCode"/>
<display value="ActSpecimenTransportCode"/>
<definition value=" Transportation of a specimen."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.TRNS"/>
</property>
</concept>
<concept>
<code value="LabResultReportingProcessStepCode"/>
<display value="LabResultReportingProcessStepCode"/>
<definition value=" Definition:
Used to identify if a lab result is reported as preliminary, final, or corrected. Provides a consistent way to distinguish the business or reporting status of the lab result."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
</concept>
</concept>
<concept>
<code value="ActCognitiveProfessionalServiceCode"/>
<display value="ActCognitiveProfessionalServiceCode"/>
<definition value=" 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 value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.ACT"/>
</property>
</concept>
<concept>
<code value="ActConsentType"/>
<display value="ActConsentType"/>
<definition value=" 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 value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.CONS"/>
</property>
<concept>
<code value="ActDataConsentType"/>
<display value="ActDataConsentType"/>
<definition value=" Description:
The type of data consent directive."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActFinancialParticipationConsentType"/>
<display value="ActFinancialParticipationConsentType"/>
<definition value=" Description:
The type of financial participation consent directive. Examples:
The Advanced Beneficiary Notice that Medicare patients consent or dissent to prior to receiving health services in the U.S. \ Current values include consent to financial responsibility (1) if the service is not deemed medically necessary; (2) will self pay for a service; or (3) requests that payer be billed."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActInformationAccessCode"/>
<display value="ActInformationAccessCode"/>
<definition value=" Description:
The type of health information to which the subject of the information or the subject&#039;s delegate consents or dissents. Examples:
 allergy information medication information professional services information"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="AdvanceBeneficiaryNoticeType"/>
<display value="AdvanceBeneficiaryNoticeType"/>
<definition value=" Description:
 Represents types of consent that patient must sign prior to receipt of service, which is required for billing purposes. Examples:
 Advanced beneficiary medically necessity notice. Advanced beneficiary agreement to pay notice. Advanced beneficiary requests payer billed."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.CONS"/>
</property>
</concept>
</concept>
<concept>
<code value="ActContractType"/>
<display value="ActContractType"/>
<definition value=" An agreement of obligation between two or more parties that is subject to contractual law and enforcement. Examples:
approvals granted by a regulatory agency; contracts measured in financial terms; insurance coverage contracts."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.CNTRCT"/>
</property>
<concept>
<code value="ActFinancialContractType"/>
<display value="ActFinancialContractType"/>
<definition value=" A type of Act representing a contract whose value is measured in monetary terms. Examples:
 insurance policy providercontract billing arrangement"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.FCNTRCT"/>
</property>
<concept>
<code value="ActCoverageTypeCode"/>
<display value="ActCoverageTypeCode"/>
<definition value=" 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 value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.COV"/>
</property>
<concept>
<code value="ActCoverageEligibilityConfirmationCode"/>
<display value="ActCoverageEligibilityConfirmationCode"/>
<definition value=" Indication of eligibility coverage for healthcare service(s) and/or product(s)."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.COV"/>
</property>
</concept>
<concept>
<code value="ActCoverageLimitCode"/>
<display value="ActCoverageLimitCode"/>
<definition value=" Criteria that are applicable to the authorized coverage."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.COV"/>
</property>
<concept>
<code value="ActCoverageQuantityLimitCode"/>
<display value="ActCoverageQuantityLimitCode"/>
<definition value=" Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActCoveredPartyLimitCode"/>
<display value="ActCoveredPartyLimitCode"/>
<definition value=" Codes representing the types of covered parties that may receive covered benefits under a policy or program. OpenIssue:
This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<concept>
<code value="ActCoveragePartyLimitGroupCode"/>
<display value="ActCoveragePartyLimitGroupCode"/>
<definition value=" Codes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status. OpenIssue:
This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
</concept>
</concept>
<concept>
<code value="ActInsurancePolicyType"/>
<display value="ActInsurancePolicyType"/>
<definition value=" Description:
Types of insurance coverage legal documentation to cover healthcare costs. Examples:
 Automobile Extended healthcare Worker's compensation"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActInsuranceTypeCode"/>
<display value="ActInsuranceTypeCode"/>
<definition value=" Definition:
Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured. Discussion:
In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<concept>
<code value="ActHealthInsuranceTypeCode"/>
<display value="ActHealthInsuranceTypeCode"/>
<definition value=" Definition:
Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement)."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
</concept>
<concept>
<code value="ActProgramTypeCode"/>
<display value="ActProgramTypeCode"/>
<definition value=" Definition:
A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds. Discussion:
Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
</concept>
</concept>
<concept>
<code value="ActFinancialTransactionType"/>
<display value="ActFinancialTransactionType"/>
<definition value=" A type of Act representing any transaction between two accounts whose value is measured in monetary terms. Examples:
 patient account transaction encounter accounttransaction cost center transaction"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.XACT"/>
</property>
<concept>
<code value="ActBillingArrangementType"/>
<display value="ActBillingArrangementType"/>
<definition value=" Description:
Types of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider for one or more occurrence or over a specified period. Examples:
 Contract Rostering Capitation"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
</concept>
</concept>
<concept>
<code value="ActDataOperationType"/>
<display value="ActDataOperationType"/>
<definition value=" Description:
Types of operations that may be performed on objects. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information. Examples:
 Create Update Delete Open Issue:
This is too restrictive to deal with what CBCC wants."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.CACT"/>
</property>
<concept>
<code value="ActDataAccessOperationType"/>
<display value="ActDataAccessOperationType"/>
<definition value=" Description:
Types of operations that may accomplish access of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information. Examples:
 Query Search Transport Send Receive"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.CACT"/>
</property>
</concept>
<concept>
<code value="ActDataCollectionOperationType"/>
<display value="ActDataCollectionOperationType"/>
<definition value=" Description:
Types of operations that may accomplish collection or related management of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information. Examples:
 Create Store Archive"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.CACT"/>
</property>
</concept>
<concept>
<code value="ActDataDisclosureOperationType"/>
<display value="ActDataDisclosureOperationType"/>
<definition value=" Description:
Types of operations that may accomplish disclosure of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information. Examples:
 Disclose Forward Publish"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.CACT"/>
</property>
</concept>
<concept>
<code value="ActDataUseOperationType"/>
<display value="ActDataUseOperationType"/>
<definition value=" Description:
Types of operations that may accomplish usage of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information. Examples:
 Activate Release Execute Read Display Update Append Amend"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.CACT"/>
</property>
</concept>
</concept>
<concept>
<code value="ActDetectedIssueManagementType"/>
<display value="ActDetectedIssueManagementType"/>
<definition value=" Description:
Issue management types that dealing with detected issue observations. Rationale:
Allows for consistent specification and interpretation of issue management."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActDisciplinaryActionCode"/>
<display value="ActDisciplinaryActionCode"/>
<definition value=" Includes coded types of actions that can be taken by a supervising entity in response to inappropriate action (or inaction) on the part of a supervised entity."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.DISPACT"/>
</property>
</concept>
<concept>
<code value="ActEventCategoryWorkingListType"/>
<display value="ActEventCategoryWorkingListType"/>
<definition value=" Description:
List of broad catagorizations of clinical event records. Examples:
 Allergies Drugs Referrals"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.LIST"/>
</property>
<concept>
<code value="ActCommonCodedClinicalObservationCategoryListType"/>
<display value="ActCommonCodedClinicalObservationCategoryListType"/>
<definition value=" Description:
Lists of high-level categorizations for clinical coded observations that do not require numeric values with a specific unit of measure. Examples:
 Symptoms History Observations"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.LIST"/>
</property>
</concept>
<concept>
<code value="ActSimpleMeasurableClinicalObservationCategoryListType"/>
<display value="ActSimpleMeasurableClinicalObservationCategoryListType"/>
<definition value=" Description:
of high-level categorization for clinical non-laboratory and non-diagnostic image measured observations with numeric values and specific units of measure. Examples:
 Vital Signs Physiological Measurements Procedure Results"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.LIST"/>
</property>
</concept>
</concept>
<concept>
<code value="ActEventCriteriaType"/>
<display value="ActEventCriteriaType"/>
<definition value=" Description:
Describes types of criteria used when making observations, conducting procedures, and substance administrations. Examples:
 medications immunizations"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.ACT"/>
</property>
<concept>
<code value="ActProcedureEventCriteriaType"/>
<display value="ActProcedureEventCriteriaType"/>
<definition value=" Description:
of procedure used for evaluating a precondition, goal, or trigger. Examples:
 some radiology procedures respiratory therapy physical therapy"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActMood.EVN.CRT"/>
</property>
</concept>
<concept>
<code value="ActSubstanceAdministrationEventCriteriaType"/>
<display value="ActSubstanceAdministrationEventCriteriaType"/>
<definition value=" Description:
Type of substance administration used for evaluating a precondition, goal, or trigger. Examples:
 other substance administrations respiratory therapy immunizations"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActMood.EVN.CRT"/>
</property>
</concept>
<concept>
<code value="ObservationEventCriteriaType"/>
<display value="ObservationEventCriteriaType"/>
<definition value=" Description:
of observation used for evaluating a precondition, goal, or trigger. Examples:
 age-based criteria diagnostic-based criteria simple observation-based criteria (vital signs)"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActMood.EVN.CRT"/>
</property>
<concept>
<code value="ObservationEventLabCriteriaType"/>
<display value="ObservationEventLabCriteriaType"/>
<definition value=" Description:
Type of observation used in lab for evaluating reference ranges. Examples:
 age-based criteria sex-based criteria condition-based criteria"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActMood.EVN.CRT"/>
</property>
</concept>
</concept>
</concept>
<concept>
<code value="ActExposureCode"/>
<display value="ActExposureCode"/>
<definition value=" 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 value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.EXPOS"/>
</property>
</concept>
<concept>
<code value="ActFinancialDetectedIssueManagementCode"/>
<display value="ActFinancialDetectedIssueManagementCode"/>
<definition value=" Codes dealing with the management of Detected Issue observations for the financial acts domain."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.ACT"/>
</property>
</concept>
<concept>
<code value="ActIncidentCode"/>
<display value="ActIncidentCode"/>
<definition value=" Definition:
Set of codes indicating the type of incident or accident."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.INC"/>
</property>
<concept>
<code value="ActPatientSafetyIncidentCode"/>
<display value="ActPatientSafetyIncidentCode"/>
<definition value=" Definition:
A code specifying the particular kind of Patient Safety Incident that the Incident class instance represents. Examples:
"Medication incident", "slips, trips and falls incident".The actual value set for the domain will be determined by each (realm) implementation, whose Patient Safety terminology will be specific, although probably linked to the WHO Patient Safety Taxonomy that is currently under development OpenIssue:
This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
</concept>
<concept>
<code value="ActInformationTransferCode"/>
<display value="ActInformationTransferCode"/>
<definition value=" Description:
Conveyance of the type of information transfer protocol."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.TRFR"/>
</property>
</concept>
<concept>
<code value="ActInvoiceElementCode"/>
<display value="ActInvoiceElementCode"/>
<definition value=" 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 value="source"/>
<valueCode value="v3"/>
</property>
<property>
<code value="ConceptualSpaceForClassCode"/>
<valueCode value="ActClass.INVE"/>
</property>
<concept>
<code value="ActInvoiceDetailCode"/>
<display value="ActInvoiceDetailCode"/>
<definition value=" Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<concept>
<code value="ActInvoiceDetailClinicalProductCode"/>
<display value="ActInvoiceDetailClinicalProductCode"/>
<definition value="**** MISSING DEFINITIONS ****"/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
</concept>
<concept>
<code value="ActInvoiceDetailClinicalServiceCode"/>
<display value="ActInvoiceDetailClinicalServiceCode"/>
<definition value=" An identifying data string for healthcare procedures. OpenIssue:
This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode."/>
<property>
<code value="source"/>
<valueCode value="v3"/>
</property>
<concept>
<code value="CPT4"/>
<display value="CPT4"/>
<definition value=" 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). OpenIssue:
This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode."/>
<property>
<code value="source"/>