v3-ActClass
type: CodeSystem
node role: treeRoot
id:
  v: v3-ActClass
language:
  v: en
text:
  status:
    v: extensions
  div: Properties This code system defines the following properties for its concepts Name Code URI Type Description Specializes Specializes Coding 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. Generalizes Generalizes Coding Inverse of Specializes. Only included as a derived relationship. internalId internalId http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id code The internal identifier for the concept in the HL7 Access database repository. status status http://hl7.org/fhir/concept-properties#status code A property that indicates the status of the concept. One of active, experimental, deprecated, or retired. deprecationDate deprecationDate http://hl7.org/fhir/concept-properties#deprecationDate dateTime The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged. Name:Class Name:Class http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Class code The formal name for the class clone under this code Name:Participation:act:Act Name:Participation:act:Act http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Participation-act string The formal name for relationship from Participation to Act HL7 Concept Usage Notes HL7usageNotes http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes string HL7 Concept Usage Notes Not Selectable notSelectable http://hl7.org/fhir/concept-properties#notSelectable boolean Indicates that the code is abstract - only intended to be used as a selector for other concepts synonymCode synonymCode http://hl7.org/fhir/concept-properties#synonym code An additional concept code that was also attributed to a concept Parent subsumedBy http://hl7.org/fhir/concept-properties#parent code The concept code of a parent concept Concepts T…
url:
  v: http://terminology.hl7.org/CodeSystem/v3-ActClass
identifier:
  system:
    v: urn:ietf:rfc:3986
  value:
    v: urn:oid:2.16.840.1.113883.5.6
version:
  v: 4.0.0
name:
  v: ActClass
title:
  v: ActClass
status:
  v: active
experimental:
  v: false
date:
  v: 2019-03-20
publisher:
  v: Health Level Seven International
contact:
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org
  telecom:
    system:
      v: email
description:
  v: 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.)
copyright:
  v: 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
case sensitive:
  v: true
hierarchy meaning:
  v: is-a
content:
  v: complete
property:
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry
    value:
      v: antisymmetric
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity
    value:
      v: transitive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity
    value:
      v: irreflexive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable
    value:
      v: true
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind
    value:
      v: Specializes
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName
    value:
      v: Generalizes
  code:
    v: Specializes
  description:
    v: 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:
    v: Coding
property:
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry
    value:
      v: antisymmetric
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity
    value:
      v: transitive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity
    value:
      v: irreflexive
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable
    value:
      v: true
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind
    value:
      v: Generalizes
  extension:
    url:
      v: http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName
    value:
      v: Specializes
  code:
    v: Generalizes
  description:
    v: Inverse of Specializes. Only included as a derived relationship.
  type:
    v: Coding
property:
  code:
    v: internalId
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id
  description:
    v: The internal identifier for the concept in the HL7 Access database repository.
  type:
    v: code
property:
  code:
    v: status
  uri:
    v: http://hl7.org/fhir/concept-properties#status
  description:
    v: A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.
  type:
    v: code
property:
  code:
    v: deprecationDate
  uri:
    v: http://hl7.org/fhir/concept-properties#deprecationDate
  description:
    v: 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:
    v: dateTime
property:
  code:
    v: Name:Class
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Class
  description:
    v: The formal name for the class clone under this code
  type:
    v: code
property:
  code:
    v: Name:Participation:act:Act
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#rim-Participation-act
  description:
    v: The formal name for relationship from Participation to Act
  type:
    v: string
property:
  code:
    v: HL7usageNotes
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes
  description:
    v: HL7 Concept Usage Notes
  type:
    v: string
property:
  code:
    v: notSelectable
  uri:
    v: http://hl7.org/fhir/concept-properties#notSelectable
  description:
    v: Indicates that the code is abstract - only intended to be used as a selector for other concepts
  type:
    v: boolean
property:
  code:
    v: synonymCode
  uri:
    v: http://hl7.org/fhir/concept-properties#synonym
  description:
    v: An additional concept code that was also attributed to a concept
  type:
    v: code
property:
  code:
    v: subsumedBy
  uri:
    v: http://hl7.org/fhir/concept-properties#parent

v: The concept code of a parent concept

v: code

code:
  v: ACT
display:
  v: act
definition:
  v: A record of something that is being done, has been done, can be done, or is intended or requested to be done. *Examples:*The kinds of acts that are common in health care are (1) a clinical observation, (2) an assessment of health condition (such as problems and diagnoses), (3) healthcare goals, (4) treatment services (such as medication, surgery, physical and psychological therapy), (5) assisting, monitoring or attending, (6) training and education services to patients and their next of kin, (7) and notary services (such as advanced directives or living will), (8) editing and maintaining documents, and many others. *Discussion and Rationale:* Acts are the pivot of the RIM; all domain information and processes are represented primarily in Acts. Any profession or business, including healthcare, is primarily constituted of intentional and occasionally non-intentional actions, performed and recorded by responsible actors. An Act-instance is a record of such an action. Acts connect to Entities in their Roles through Participations and connect to other Acts through ActRelationships. Participations are the authors, performers and other responsible parties as well as subjects and beneficiaries (which includes tools and material used in the performance of the act, which are also subjects). The moodCode distinguishes between Acts that are meant as factual records, vs. records of intended or ordered services, and the other modalities in which act can appear. One of the Participations that all acts have (at least implicitly) is a primary author, who is responsible of the Act and who "owns" the act. Responsibility for the act means responsibility for what is being stated in the Act and as what it is stated. Ownership of the act is assumed in the sense of who may operationally modify the same act. Ownership and responsibility of the Act is not the same as ownership or responsibility of what the Act-object refers to in the real world. The same real world activity can be described …
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 13856
property:
  code:
    v: Name:Class
  value:
    v: Act
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DOCCNTNT
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 14785
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DOCLIST
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 14787
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DOCLSTITM
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 14789
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DOCPARA
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 14786
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DOCTBL
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 14784
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: LINKHTML
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 16902
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: LOCALATTR
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 16903
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: LOCALMRKP
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 16904
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ordered
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 10979
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: REFR
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 11538
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: TBLCOL
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 14782
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: TBLCOLGP
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 14783
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: TBLDATA
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 14776
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: TBLHDR
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 14775
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: TBLROW
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 14778
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: tbody
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 11009
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: tfoot
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 11010
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: thead
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 11011
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: unordered
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 10980
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ENTRY
display:
  v: entry
definition:
  v: This context represents the information acquired and recorded for an observation, a clinical statement such as a portion of the patient's history or an inference or assertion, or an action that might be intended or has actually been performed. This class may represent both the actual data describing the observation, inference, or action, and optionally the details supporting the clinical reasoning process such as a reference to an electronic guideline, decision support system, or other knowledge reference.
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 20087
property:
  code:
    v: subsumedBy
  value:
    v: _ActClassContainer
property:
  code:
    v: subsumedBy
  value:
    v: _ActContainer
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ORGANIZER
display:
  v: organizer
definition:
  v: Organizer of entries. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "organizer tree". The record entries relating to a single clinical session are usually grouped under headings that represent phases of the encounter, or assist with layout and navigation. Clinical headings usually reflect the clinical workflow during a care session, and might also reflect the main author's reasoning processes. Much research has demonstrated that headings are used differently by different professional groups and specialties, and that headings are not used consistently enough to support safe automatic processing of the E H R.
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 20084
property:
  code:
    v: subsumedBy
  value:
    v: _ActClassContainer
property:
  code:
    v: subsumedBy
  value:
    v: _ActContainer
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: COMPOSITION
display:
  v: composition
definition:
  v: A context representing a grouped commitment of information to the EHR. It is considered the unit of modification of the record, the unit of transmission in record extracts, and the unit of attestation by authorizing clinicians. A composition represents part of a patient record originating from a single interaction between an authenticator and the record. Unless otherwise stated all statements within a composition have the same authenticator, apply to the same patient and were recorded in a single session of use of a single application. A composition contains organizers and entries.
designation:
  language:
    v: en
  use: http://snomed.info/id/900000000000013009
    system:
      v: http://snomed.info/sct
    code:
      v: 900000000000013009
  value:
    v: Attestable unit
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 20083
property:
  code:
    v: Name:Class
  value:
    v: Composition
property:
  code:
    v: subsumedBy
  value:
    v: _ActClassRecordOrganizer
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CONTAINER
display:
  v: record container
definition:
  v: **Description:** Container of clinical statements. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "container tree". The record entries relating to a single clinical session are usually grouped under headings that represent phases of the encounter, or assist with layout and navigation. Clinical headings usually reflect the clinical workflow during a care session, and might also reflect the main author's reasoning processes. Much research has demonstrated that headings are used differently by different professional groups and specialties, and that headings are not used consistently enough to support safe automatic processing of the E H R.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22712
property:
  code:
    v: Name:Class
  value:
    v: Container
property:
  code:
    v: subsumedBy
  value:
    v: _ActClassRecordOrganizer
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: EXTRACT
display:
  v: extract
definition:
  v: This context represents the part of a patient record conveyed in a single communication. It is drawn from a providing system for the purposes of communication to a requesting process (which might be another repository, a client application or a middleware service such as an electronic guideline engine), and supporting the faithful inclusion of the communicated data in the receiving system. An extract may be the entirety of the patient record as held by the sender or it may be a part of that record (e.g. changes since a specified date). An extract contains folders or compositions. An extract cannot contain another extract.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 20080
property:
  code:
    v: Name:Class
  value:
    v: Extract
property:
  code:
    v: subsumedBy
  value:
    v: _ActClassRecordOrganizer
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: FOLDER
display:
  v: folder
definition:
  v: A context representing the high-level organization of an extract e.g. to group parts of the record by episode, care team, clinical specialty, clinical condition, or source application. Internationally, this kind of organizing structure is used variably: in some centers and systems the folder is treated as an informal compartmentalization of the overall health record; in others it might represent a significant legal portion of the EHR relating to the originating enterprise or team. A folder contains compositions. Folders may be nested within folders.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 20082
property:
  code:
    v: Name:Class
  value:
    v: Folder
property:
  code:
    v: subsumedBy
  value:
    v: _ActClassRecordOrganizer
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: GROUPER
display:
  v: grouper
definition:
  v: **Definition:** An ACT that organizes a set of component acts into a semantic grouping that share a particular context such as timeframe, patient, etc. **UsageNotes:** The focus in a GROUPER act is the grouping of the contained acts. For example "a request to group" (RQO), "a type of grouping that is allowed to occur" (DEF), etc. Unlike WorkingList, which represents a dynamic, shared, continuously updated collection to provide a "view" of a set of objects, GROUPER collections tend to be static and simply indicate a shared set of semantics. Note that sharing of semantics can be achieved using ACT as well. However, with GROUPER, the sole semantic is of grouping.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: HL7usageNotes
  value:
    v: The focus in a GROUPER act is the grouping of the contained acts. For example "a request to group" (RQO), "a type of grouping that is allowed to occur" (DEF), etc. Unlike WorkingList, which represents a dynamic, shared, continuously updated collection to provide a "view" of a set of objects, GROUPER collections tend to be static and simply indicate a shared set of semantics. Note that sharing of semantics can be achieved using ACT as well. However, with GROUPER, the sole semantic is of grouping.
property:
  code:
    v: internalId
  value:
    v: 22713
property:
  code:
    v: Name:Class
  value:
    v: Grouper
property:
  code:
    v: subsumedBy
  value:
    v: _ActClassRecordOrganizer
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ROIBND
display:
  v: bounded ROI
definition:
  v: A Region of Interest (ROI) specified for a multidimensional observation, such as an Observation Series (OBSSER). The ROI is specified using a set of observation criteria, each delineating the boundary of the region in one of the dimensions in the multidimensional observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type subject (SUBJ), which must always be present. Each of the boundary criteria observations is connected with the ROI using ActRelationships of type "has component" (COMP). In each boundary criterion, the Act.code names the dimension and the Observation.value specifies the range of values inside the region. Typically the bounded dimension is continuous, and so the Observation.value will be an interval (IVL) data type. The Observation.value need not be specified if the respective dimension is only named but not constrained. For example, an ROI for the QT interval of a certain beat in ECG Lead II would contain 2 boundary criteria, one naming the interval in time (constrained), and the other naming the interval in ECG Lead II (only named, but not constrained).
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 17895
property:
  code:
    v: Name:Class
  value:
    v: BoundedROI
property:
  code:
    v: subsumedBy
  value:
    v: _ActClassROI
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ROIOVL
display:
  v: overlay ROI
definition:
  v: A Region of Interest (ROI) specified for an image using an overlay shape. Typically used to make reference to specific regions in images, e.g., to specify the location of a radiologic finding in an image or to specify the site of a physical finding by "circling" a region in a schematic picture of a human body. The units of the coordinate values are in pixels. The origin is in the upper left hand corner, with positive X values going to the right and positive Y values going down. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 16392
property:
  code:
    v: Name:Class
  value:
    v: OverlayROL
property:
  code:
    v: subsumedBy
  value:
    v: _ActClassROI
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: LLD
display:
  v: left lateral decubitus
definition:
  v: Lying on the left side. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-07-12
property:
  code:
    v: internalId
  value:
    v: 21939
property:
  code:
    v: subsumedBy
  value:
    v: _SubjectBodyPosition
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: PRN
display:
  v: prone
definition:
  v: Lying with the front or ventral surface downward; lying face down. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-07-12
property:
  code:
    v: internalId
  value:
    v: 21932
property:
  code:
    v: subsumedBy
  value:
    v: _SubjectBodyPosition
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: RLD
display:
  v: right lateral decubitus
definition:
  v: Lying on the right side. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-07-12
property:
  code:
    v: internalId
  value:
    v: 21938
property:
  code:
    v: subsumedBy
  value:
    v: _SubjectBodyPosition
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SFWL
display:
  v: Semi-Fowler's
definition:
  v: A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-07-12
property:
  code:
    v: internalId
  value:
    v: 21940
property:
  code:
    v: subsumedBy
  value:
    v: _SubjectBodyPosition
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SIT
display:
  v: sitting
definition:
  v: Resting the body on the buttocks, typically with upper torso erect or semi erect. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-07-12
property:
  code:
    v: internalId
  value:
    v: 21933
property:
  code:
    v: subsumedBy
  value:
    v: _SubjectBodyPosition
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: STN
display:
  v: standing
definition:
  v: To be stationary, upright, vertical, on one's legs. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-07-12
property:
  code:
    v: internalId
  value:
    v: 21934
property:
  code:
    v: subsumedBy
  value:
    v: _SubjectBodyPosition
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SUP
display:
  v: supine
definition:
  v: ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-07-12
property:
  code:
    v: internalId
  value:
    v: 21935
property:
  code:
    v: subsumedBy
  value:
    v: _SubjectBodyPosition
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: _SubjectBodyPosition
display:
  v: subject body position
definition:
  v: 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. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
property:
  code:
    v: notSelectable
  value:
    v: true
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-07-12
property:
  code:
    v: internalId
  value:
    v: 21930
property:
  code:
    v: Name:Class
  value:
    v: SubjectBodyPosition
property:
  code:
    v: subsumedBy
  value:
    v: _SubjectPhysicalPosition
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: _ImagingSubjectOrientation
display:
  v: imaging subject orientation
definition:
  v: A code specifying qualitatively the spatial relation between imaged object and imaging film or detector.
property:
  code:
    v: notSelectable
  value:
    v: true
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: internalId
  value:
    v: 21931
property:
  code:
    v: subsumedBy
  value:
    v: _SubjectPhysicalPosition
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: _ActClassRecordOrganizer
display:
  v: record organizer
definition:
  v: Used to group a set of acts sharing a common context. Organizer structures can nest within other context structures - such as where a document is contained within a folder, or a folder is contained within an EHR extract.
property:
  code:
    v: notSelectable
  value:
    v: true
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22711
property:
  code:
    v: Name:Class
  value:
    v: RecordOrganizer
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ACCM
display:
  v: accommodation
definition:
  v: An accommodation is a service provided for a Person or other LivingSubject in which a place is provided for the subject to reside for a period of time. Commonly used to track the provision of ward, private and semi-private accommodations for a patient.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 16137
property:
  code:
    v: Name:Class
  value:
    v: Accommodation
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ACCT
display:
  v: account
definition:
  v: A financial account established to track the net result of financial acts.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 13991
property:
  code:
    v: Name:Class
  value:
    v: Account
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ACSN
display:
  v: accession
definition:
  v: A unit of work, a grouper of work items as defined by the system performing that work. Typically some laboratory order fulfillers communicate references to accessions in their communications regarding laboratory orders. Often one or more specimens are related to an accession such that in some environments the accession number is taken as an identifier for a specimen (group).
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 16740
property:
  code:
    v: Name:Class
  value:
    v: Accession
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ADJUD
display:
  v: financial adjudication
definition:
  v: A transformation process where a requested invoice is transformed into an agreed invoice. Represents the adjudication processing of an invoice (claim). Adjudication results can be adjudicated as submitted, with adjustments or refused. Adjudication results comprise 2 components: the adjudication processing results and a restated (or adjudicated) invoice or claim
designation:
  language:
    v: en
  use: http://snomed.info/id/900000000000013009
    system:
      v: http://snomed.info/sct
    code:
      v: 900000000000013009
  value:
    v: financial adjudication results
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 16747
property:
  code:
    v: Name:Class
  value:
    v: InvoiceAdjudication
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CACT
display:
  v: control act
definition:
  v: An act representing a system action such as the change of state of another act or the initiation of a query. All control acts represent trigger events in the HL7 context. ControlActs may occur in different moods.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 11534
property:
  code:
    v: Name:Class
  value:
    v: ControlAct
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CNTRCT
display:
  v: contract
definition:
  v: An agreement of obligation between two or more parties that is subject to contractual law and enforcement.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 14002
property:
  code:
    v: Name:Class
  value:
    v: Contract
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CONC
display:
  v: concern
definition:
  v: **Definition:** A worry that tends to persist over time and has as its subject a state or process. The subject of the worry has the potential to require intervention or management. **Examples:** an observation result, procedure, substance administration, equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, allergy, and acute or chronic illness.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22933
property:
  code:
    v: Name:Class
  value:
    v: Concern
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CONS
display:
  v: consent
definition:
  v: The Consent class represents informed consents and all similar medico-legal transactions between the patient (or his legal guardian) and the provider. Examples are informed consent for surgical procedures, informed consent for clinical trials, advanced beneficiary notice, against medical advice decline from service, release of information agreement, etc. The details of consents vary. Often an institution has a number of different consent forms for various purposes, including reminding the physician about the topics to mention. Such forms also include patient education material. In electronic medical record communication, consents thus are information-generating acts on their own and need to be managed similar to medical activities. Thus, Consent is modeled as a special class of Act. The "signatures" to the consent document are represented electronically through Participation instances to the consent object. Typically an informed consent has Participation.typeCode of "performer", the healthcare provider informing the patient, and "consenter", the patient or legal guardian. Some consent may associate a witness or a notary public (e.g., living wills, advanced directives). In consents where a healthcare provider is not required (e.g. living will), the performer may be the patient himself or a notary public. Some consent has a minimum required delay between the consent and the service, so as to allow the patient to rethink his decisions. This minimum delay can be expressed in the act definition by the ActRelationship.pauseQuantity attribute that delays the service until the pause time has elapsed after the consent has been completed.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 11537
property:
  code:
    v: Name:Class
  value:
    v: Consent
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CONTREG
display:
  v: container registration
definition:
  v: An Act where a container is registered either via an automated sensor, such as a barcode reader, or by manual receipt
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 14005
property:
  code:
    v: Name:Class
  value:
    v: ContainerRegistration
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CTTEVENT
display:
  v: clinical trial timepoint event
definition:
  v: An identified point during a clinical trial at which one or more actions are scheduled to be performed (definition mood), or are actually performed (event mood). The actions may or may not involve an encounter between the subject and a healthcare professional.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 18973
property:
  code:
    v: Name:Class
  value:
    v: TimePointEvent
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DISPACT
display:
  v: disciplinary action
definition:
  v: An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable. Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.*Examples:*
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21428
property:
  code:
    v: Name:Class
  value:
    v: DisciplinaryAction
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: EXPOS
display:
  v: exposure
definition:
  v: An interaction between entities that provides opportunity for transmission of a physical, chemical, or biological agent from an exposure source entity to an exposure target entity. *Examples:* The following examples are provided to indicate what interactions are considered exposures rather than other types of Acts: * A patient accidentally receives three times the recommended dose of their medication due to a dosing error. * This is a substance administration. Public health and/or safety authorities may also be interested in documenting this with an associated exposure. * A patient accidentally is dispensed an incorrect medicine (e.g., clomiphene instead of clomipramine). They have taken several doses before the mistake is detected. They are therefore "exposed" to a medicine that there was no therapeutic indication for them to receive. * There are several substance administrations in this example. Public health and/or safety authorities may also be interested in documenting this with associated exposures. * In a busy medical ward, a patient is receiving chemotherapy for a lymphoma. Unfortunately, the IV infusion bag containing the medicine splits, spraying cytotoxic medication over the patient being treated and the patient in the adjacent bed. * There are three substance administrations in this example. The first is the intended one (IV infusion) with its associated (implicit) exposure. There is an incident with an associated substance administration to the same patient involving the medication sprayed over the patient as well as an associated exposure. Additionally, the incident includes a substance administration involving the spraying of medication on the adjacent patient, also with an associated exposure. * A patient who is a refugee from a war-torn African nation arrives in a busy inner city A&E department suffering from a cough with bloody sputum. Not understanding the registration and triage process, they sit in the waiting room for several hours before it is…
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: HL7usageNotes
  value:
    v: This class deals only with opportunity and not the outcome of the exposure; i.e. not all exposed parties will necessarily experience actual harm or benefit. Exposure differs from Substance Administration by the absence of the participation of a performer in the act. The following participations SHOULD be used with the following participations to distinguish the specific entities: The exposed entity participates via the "exposure target" (EXPTRGT) participation. An entity that has carried the agent transmitted in the exposure participates via the "exposure source" (EXSRC) participation. For example: a person or animal who carried an infectious disease and interacts (EXSRC) with another person or animal (EXPTRGT) transmitting the disease agent; a place or other environment (EXSRC) and a person or animal (EXPTRGT) who is exposed in the presence of this environment. When it is unknown whether a participating entity is the source of the agent (EXSRC) or the target of the transmission (EXPTRGT), the "exposure participant" (EXPART) is used. The physical (including energy), chemical or biological substance which is participating in the exposure uses the "exposure agent" (EXPAGNT) participation. There are at least three scenarios: the player of the Role that participates as EXPAGNT is the chemical or biological substance mixed or carried by the scoper-entity of the Role (e.g., ingredient role); or the player of the Role that participates as EXPAGNT is a mixture known to contain the chemical, radiological or biological substance of interest; or the player of the Role that participates as a EXPAGNT is known to carry the agent (i.e., the player is a fomite, vector, etc.). The Exposure.statusCode attribute should be interpreted as the state of the Exposure business object (e.g., active, aborted, completed) and not the clinical status of the exposure (e.g., probable, confirmed). The clinical status of the exposure should be associated with the exposure via a subject observation.
property:
  code:
    v: internalId
  value:
    v: 21980
property:
  code:
    v: Name:Class
  value:
    v: Exposure
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: INC
display:
  v: incident
definition:
  v: An event that occurred outside of the control of one or more of the parties involved. Includes the concept of an accident.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 13989
property:
  code:
    v: Name:Class
  value:
    v: Incident
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: INFRM
display:
  v: inform
definition:
  v: The act of transmitting information and understanding about a topic to a subject where the participation association must be SBJ. **Discussion:** This act may be used to request that a patient or provider be informed about an Act, or to indicate that a person was informed about a particular act.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 18908
property:
  code:
    v: Name:Class
  value:
    v: Inform
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: INVE
display:
  v: invoice element
definition:
  v: Represents concepts related to invoice processing in health care
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 13992
property:
  code:
    v: Name:Class
  value:
    v: InvoiceElement
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: LIST
display:
  v: working list
definition:
  v: Working list collects a dynamic list of individual instances of Act via ActRelationship which reflects the need of an individual worker, team of workers, or an organization to manage lists of acts for many different clinical and administrative reasons. Examples of working lists include problem lists, goal lists, allergy lists, and to-do lists.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 11541
property:
  code:
    v: Name:Class
  value:
    v: WorkingList
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: MPROT
display:
  v: monitoring program
definition:
  v: An officially or unofficially instituted program to track acts of a particular type or categorization.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 16230
property:
  code:
    v: Name:Class
  value:
    v: MonitoringProgram
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: OBS
display:
  v: observation
definition:
  v: **Description:**An act that is intended to result in new information about a subject. The main difference between Observations and other Acts is that Observations have a value attribute. The **code** attribute of Observation and the **value** attribute of Observation must be considered in combination to determine the semantics of the observation. **Discussion:** Structurally, many observations are name-value-pairs, where the Observation.code (inherited from Act) is the name and the Observation.value is the value of the property. Such a construct is also known as a variable (a named feature that can assume a value) hence, the Observation class is always used to hold generic name-value-pairs or variables, even though the variable valuation may not be the result of an elaborate observation method. It may be a simple answer to a question or it may be an assertion or setting of a parameter. As with all Act statements, Observation statements describe what was done, and in the case of Observations, this includes a description of what was actually observed (results or answers); and those results or answers are part of the observation and not split off into other objects. The method of action is asserted by the Observation classCode or its subclasses at the least granular level, by the Observation.code attribute value at the medium level of granularity, and by the attribute value of observation.methodCode when a finer level of granularity is required. The method in whole or in part may also appear in the attribute value of Observation.value when using coded data types to express the value of the attribute. Relevant aspects of methodology may also be restated in value when the results themselves imply or state a methodology. An observation may consist of component observations each having their own Observation.code and Observation.value. In this case, the composite observation may not have an Observation.value for itself. For instance, a white blood cell count consists of the…
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 11529
property:
  code:
    v: Name:Class
  value:
    v: Observation
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: PCPR
display:
  v: care provision
definition:
  v: An **Act** that of taking on whole or partial responsibility for, or attention to, safety and well-being of a subject of care. *Discussion:* A **care provision** event may exist without any other care actions taking place. For example, when a patient is assigned to the care of a particular health professional. In **request** (RQO) mood **care provision** communicates a referral, which is a request: * from one party (linked as a **participant** of type **author** (AUT)), * to another party (linked as a **participant** of type **performer** (PRF), * to take responsibility for a scope specified by the code attribute, * for an entity (linked as a **participant** of type **subject** (SBJ)). The scope of the care for which responsibility is taken is identified by *code* attribute. In **event** (EVN) mood **care provision** indicates the effective time interval of a specified scope of responsibility by a **performer** (PRF) or set of **performers** (PRF) for a **subject** (SBJ). *Examples:* 1. Referral from GP to a specialist. 2. Assignment of a patient or group of patients to the case list of a health professional. 3. Assignment of inpatients to the care of particular nurses for a working shift.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 18964
property:
  code:
    v: Name:Class
  value:
    v: CareProvision
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: POLICY
display:
  v: policy
definition:
  v: **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:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21981
property:
  code:
    v: Name:Class
  value:
    v: Policy
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: PROC
display:
  v: procedure
definition:
  v: 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:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 11532
property:
  code:
    v: Name:Class
  value:
    v: Procedure
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: REG
display:
  v: registration
definition:
  v: Represents the act of maintaining information about the registration of its associated registered subject. The subject can be either an Act or a Role, and includes subjects such as lab exam definitions, drug protocol definitions, prescriptions, persons, patients, practitioners, and equipment. The registration may have a unique identifier - separate from the unique identification of the subject - as well as a core set of related participations and act relationships that characterize the registration event and aid in the disposition of the subject information by a receiving system.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 15932
property:
  code:
    v: Name:Class
  value:
    v: Registration
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: REV
display:
  v: review
definition:
  v: The act of examining and evaluating the subject, usually another act. For example, "This prescription needs to be reviewed in 2 months."
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21380
property:
  code:
    v: Name:Class
  value:
    v: Review
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SPCTRT
display:
  v: specimen treatment
definition:
  v: A procedure or treatment performed on a specimen to prepare it for analysis
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 14023
property:
  code:
    v: Name:Class
  value:
    v: SpecimenTreatment
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SPLY
display:
  v: supply
definition:
  v: Supply orders and deliveries are simple Acts that focus on the delivered product. The product is associated with the Supply Act via Participation.typeCode="product". With general Supply Acts, the precise identification of the Material (manufacturer, serial numbers, etc.) is important. Most of the detailed information about the Supply should be represented using the Material class. If delivery needs to be scheduled, tracked, and billed separately, one can associate a Transportation Act with the Supply Act. Pharmacy dispense services are represented as Supply Acts, associated with a SubstanceAdministration Act. The SubstanceAdministration class represents the administration of medication, while dispensing is supply.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 11535
property:
  code:
    v: Name:Class
  value:
    v: Supply
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: STORE
display:
  v: storage
definition:
  v: 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:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22826
property:
  code:
    v: Name:Class
  value:
    v: Storage
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SUBST
display:
  v: Substitution
definition:
  v: Definition: Indicates that the subject Act has undergone or should undergo substitution of a type indicated by Act.code. Rationale: Used to specify "allowed" substitution when creating orders, "actual" susbstitution when sending events, as well as the reason for the substitution and who was responsible for it.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 20094
property:
  code:
    v: Name:Class
  value:
    v: Substitution
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: TRFR
display:
  v: transfer
definition:
  v: **Definition:** The act of transferring information without the intent of imparting understanding about a topic to the subject that is the recipient or holder of the transferred information where the participation association must be RCV or HLD.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22186
property:
  code:
    v: Name:Class
  value:
    v: Transfer
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: TRNS
display:
  v: transportation
definition:
  v: Transportation is the moving of a payload (people or material) from a location of origin to a destination location. Thus, any transport service has the three target instances of type payload, origin, and destination, besides the targets that are generally used for any service (i.e., performer, device, etc.)
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 11539
property:
  code:
    v: Name:Class
  value:
    v: Transportation
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: XACT
display:
  v: financial transaction
definition:
  v: A sub-class of Act representing any transaction between two accounts whose value is measured in monetary terms. In the "intent" mood, communicates a request for a transaction to be initiated, or communicates a transfer of value between two accounts. In the "event" mood, communicates the posting of a transaction to an account.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 11545
property:
  code:
    v: Name:Class
  value:
    v: FinancialTransaction
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: _ActClassContainer
display:
  v: ActClassContainer
property:
  code:
    v: notSelectable
  value:
    v: true
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: synonymCode
  value:
    v: _ActContainer
property:
  code:
    v: internalId
  value:
    v: 20848
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: _ActContainer
display:
  v: ActClassContainer
property:
  code:
    v: notSelectable
  value:
    v: true
property:
  code:
    v: status
  value:
    v: retired
property:
  code:
    v: synonymCode
  value:
    v: _ActClassContainer
property:
  code:
    v: internalId
  value:
    v: 20848
property:
  code:
    v: subsumedBy
  value:
    v: ACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ACTN
display:
  v: action
definition:
  v: Sender asks addressee to do something depending on the focal Act of the payload. An example is "fulfill this order". Addressee has responsibilities to either reject the message or to act on it in an appropriate way (specified by the specific receiver responsibilities for the interaction).
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 18952
property:
  code:
    v: Name:Class
  value:
    v: ActionControlAct
property:
  code:
    v: subsumedBy
  value:
    v: CACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: INFO
display:
  v: information
definition:
  v: Sender sends payload to addressee as information. Addressee does not have responsibilities beyond serving addressee's own interest (i.e., read and memorize if you see fit). This is equivalent to an FYI on a memo.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 18953
property:
  code:
    v: Name:Class
  value:
    v: InformationControlAct
property:
  code:
    v: subsumedBy
  value:
    v: CACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: STC
display:
  v: state transition control
definition:
  v: **Description:** Sender transmits a status change pertaining to the focal act of the payload. This status of the focal act is the final state of the state transition. This can be either a request or an event, according to the mood of the control act.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 18954
property:
  code:
    v: Name:Class
  value:
    v: StateTransitionControlAct
property:
  code:
    v: subsumedBy
  value:
    v: CACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: OUTB
display:
  v: outbreak
definition:
  v: An outbreak represents a series of public health cases. The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak, and its ending date is the last date of onset among the cases assigned to the outbreak.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2012-11-09
property:
  code:
    v: internalId
  value:
    v: 11531
property:
  code:
    v: Name:Class
  value:
    v: Outbreak
property:
  code:
    v: subsumedBy
  value:
    v: CASE
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: FCNTRCT
display:
  v: financial contract
definition:
  v: A contract whose value is measured in monetary terms.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 14003
property:
  code:
    v: Name:Class
  value:
    v: FinancialContract
property:
  code:
    v: subsumedBy
  value:
    v: CNTRCT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DOC
display:
  v: document
definition:
  v: The notion of a document comes particularly from the paper world, where it corresponds to the contents recorded on discrete pieces of paper. In the electronic world, a document is a kind of composition that bears resemblance to their paper world counter-parts. Documents typically are meant to be human-readable. HL7's notion of document differs from that described in the W3C XML Recommendation, in which a document refers specifically to the contents that fall between the root element's start-tag and end-tag. Not all XML documents are HL7 documents.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 18938
property:
  code:
    v: Name:Class
  value:
    v: Document
property:
  code:
    v: subsumedBy
  value:
    v: COMPOSITION
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: HCASE
display:
  v: public health case
definition:
  v: A public health case is a Concern about an observation or event that has a specific significance for public health. The creation of a PublicHealthCase initiates the tracking of the object of concern. The decision to track is related to but somewhat independent of the underlying event or observation. **UsageNotes:** Typically a Public Health Case involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: HL7usageNotes
  value:
    v: Typically a Public Health Case involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.
property:
  code:
    v: internalId
  value:
    v: 23464
property:
  code:
    v: Name:Class
  value:
    v: PublicHealthCase
property:
  code:
    v: subsumedBy
  value:
    v: CONC
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: OUTBR
display:
  v: outbreak
definition:
  v: An Outbreak is a concern resulting from a series of public health cases. **UsageNotes:** The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak and its ending date is the last date of onset among the cases assigned to the outbreak. The effectiveTime attribute is used to convey the relevant dates for the case. An outbreak definition (Act.moodCode = "definition" includes the criteria for the number, types and occurrence pattern of cases necessary to declare an outbreak and to judge the severity of an outbreak.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: HL7usageNotes
  value:
    v: The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak and its ending date is the last date of onset among the cases assigned to the outbreak. The effectiveTime attribute is used to convey the relevant dates for the case. An outbreak definition (Act.moodCode = "definition" includes the criteria for the number, types and occurrence pattern of cases necessary to declare an outbreak and to judge the severity of an outbreak.
property:
  code:
    v: internalId
  value:
    v: 23465
property:
  code:
    v: Name:Class
  value:
    v: Outbreak
property:
  code:
    v: subsumedBy
  value:
    v: CONC
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CASE
display:
  v: public health case
definition:
  v: A public health case is an Observation representing a condition or event that has a specific significance for public health. Typically it involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. An outbreak involving multiple individuals may be considered as a type of public health case. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. There are also case definitions for outbreaks. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2012-11-09
property:
  code:
    v: internalId
  value:
    v: 11530
property:
  code:
    v: Name:Class
  value:
    v: PublicHealthCase
property:
  code:
    v: subsumedBy
  value:
    v: COND
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CATEGORY
display:
  v: category
definition:
  v: A group of entries within a composition or topic that have a common characteristic - for example, Examination, Diagnosis, Management OR Subjective, Objective, Analysis, Plan. The distinction from Topic relates to value sets. For Category there is a bounded list of things like "Examination", "Diagnosis" or SOAP categories. For Topic the list is wide open to any clinical condition or reason for a part of an encounter. A CATEGORY MAY CONTAIN ENTRIES.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 20086
property:
  code:
    v: Name:Class
  value:
    v: Category
property:
  code:
    v: subsumedBy
  value:
    v: CONTAINER
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DOCBODY
display:
  v: document body
definition:
  v: A context that distinguishes the body of a document from the document header. This is seen, for instance, in HTML documents, which have discrete and elements.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 13947
property:
  code:
    v: Name:Class
  value:
    v: DocumentBody
property:
  code:
    v: subsumedBy
  value:
    v: CONTAINER
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DOCSECT
display:
  v: document section
definition:
  v: A context that subdivides the body of a document. Document sections are typically used for human navigation, to give a reader a clue as to the expected content. Document sections are used to organize and provide consistency to the contents of a document body. Document sections can contain document sections and can contain entries.
designation:
  language:
    v: en
  use: http://snomed.info/id/900000000000013009
    system:
      v: http://snomed.info/sct
    code:
      v: 900000000000013009
  value:
    v: Section
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 13946
property:
  code:
    v: Name:Class
  value:
    v: DocumentSection
property:
  code:
    v: subsumedBy
  value:
    v: CONTAINER
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: TOPIC
display:
  v: topic
definition:
  v: A group of entries within a composition that are related to a common clinical theme - such as a specific disorder or problem, prevention, screening and provision of contraceptive services. A topic may contain categories and entries.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 20085
property:
  code:
    v: Name:Class
  value:
    v: Topic
property:
  code:
    v: subsumedBy
  value:
    v: CONTAINER
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DOCCLIN
display:
  v: clinical document
definition:
  v: A clinical document is a documentation of clinical observations and services, with the following characteristics: 1. Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; 2. Stewardship - A clinical document is maintained by a person or organization entrusted with its care; 3. Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; 4. Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document; 5. Human readability - A clinical document is human readable.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 13948
property:
  code:
    v: Name:Class
  value:
    v: ClinicalDocument
property:
  code:
    v: subsumedBy
  value:
    v: DOC
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CDALVLONE
display:
  v: CDA Level One clinical document
definition:
  v: A clinical document that conforms to Level One of the HL7 Clinical Document Architecture (CDA)
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 14795
property:
  code:
    v: Name:Class
  value:
    v: CDALevelOneClinicalDocument
property:
  code:
    v: subsumedBy
  value:
    v: DOCCLIN
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: AEXPOS
display:
  v: acquisition exposure
definition:
  v: **Description:** An acquisition exposure act describes the proximity (location and time) through which the participating entity was potentially exposed to a physical (including energy), chemical or biological agent from another entity. The acquisition exposure act is used in conjunction with transmission exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion. **Constraints:** The Acquisition Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPSRC (exposure source) participation must never be associated with the Transmission Exposure either directly or via context conduction.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22349
property:
  code:
    v: Name:Class
  value:
    v: AcquisitionExposure
property:
  code:
    v: subsumedBy
  value:
    v: EXPOS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: TEXPOS
display:
  v: transmission exposure
definition:
  v: **Description:** A transmission exposure act describes the proximity (time and location) over which the participating source entity was capable of transmitting a physical (including energy), chemical or biological substance agent to another entity. The transmission exposure act is used in conjunction with acquisition exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion. **Constraints:** The Transmission Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPTRGT (exposure target) participation must never be associated with the Transmission Exposure either directly or via context conduction.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22348
property:
  code:
    v: Name:Class
  value:
    v: TransmissionExposure
property:
  code:
    v: subsumedBy
  value:
    v: EXPOS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: EHR
display:
  v: electronic health record
definition:
  v: A context that comprises all compositions. The EHR is an extract that includes the entire chart. **NOTE:** In an exchange scenario, an EHR is a specialization of an extract.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 20081
property:
  code:
    v: Name:Class
  value:
    v: ElectronicHealthRecord
property:
  code:
    v: subsumedBy
  value:
    v: EXTRACT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: COV
display:
  v: coverage
definition:
  v: When used in the EVN mood, this concept means with respect to a covered party: 1. A health care insurance policy or plan that is contractually binding between two or more parties; or 2. A health care program, usually administered by government entities, that provides coverage to persons determined eligible under the terms of the program. * When used in the definition (DEF) mood, COV means potential coverage for a patient who may or may not be a covered party. * The concept's meaning is fully specified by the choice of ActCoverageTypeCode (abstract) ActProgramCode or ActInsurancePolicyCode.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 14004
property:
  code:
    v: Name:Class
  value:
    v: Coverage
property:
  code:
    v: subsumedBy
  value:
    v: FCNTRCT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DETPOL
display:
  v: determinant peptide
definition:
  v: **Description:**A determinant peptide in a polypeptide as described by polypeptide.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22002
property:
  code:
    v: Name:Class
  value:
    v: DeterminantPeptide
property:
  code:
    v: subsumedBy
  value:
    v: GEN
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: EXP
display:
  v: expression level
definition:
  v: **Description:**An expression level of genes/proteins or other expressed genomic entities.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22000
property:
  code:
    v: Name:Class
  value:
    v: ExpressionLevel
property:
  code:
    v: subsumedBy
  value:
    v: GEN
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: LOC
display:
  v: locus
definition:
  v: **Description:**The position of a gene (or other significant sequence) on the genome.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22003
property:
  code:
    v: Name:Class
  value:
    v: Locus
property:
  code:
    v: subsumedBy
  value:
    v: GEN
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: PHN
display:
  v: phenotype
definition:
  v: **Description:**A genomic phenomenon that is expressed externally in the organism.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22004
property:
  code:
    v: Name:Class
  value:
    v: Phenotype
property:
  code:
    v: subsumedBy
  value:
    v: GEN
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: POL
display:
  v: polypeptide
definition:
  v: **Description:**A polypeptide resulting from the translation of a gene.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22001
property:
  code:
    v: Name:Class
  value:
    v: Polypeptide
property:
  code:
    v: subsumedBy
  value:
    v: GEN
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SEQ
display:
  v: bio sequence
definition:
  v: **Description:**A sequence of biomolecule like the DNA, RNA, protein and the like.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21998
property:
  code:
    v: Name:Class
  value:
    v: BioSequence
property:
  code:
    v: subsumedBy
  value:
    v: GEN
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SEQVAR
display:
  v: bio sequence variation
definition:
  v: **Description:**A variation in a sequence as described by BioSequence.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21999
property:
  code:
    v: Name:Class
  value:
    v: BioSequenceVariation
property:
  code:
    v: subsumedBy
  value:
    v: GEN
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CLUSTER
display:
  v: Cluster
definition:
  v: **Description:**An ACT that organizes a set of component acts into a semantic grouping that have a shared subject. The subject may be either a subject participation (SBJ), subject act relationship (SUBJ), or child participation/act relationship types. **Discussion:** The focus in a CLUSTER act is the grouping of the contained acts. For example "a request to cluster" (RQO), "a type of cluster that is allowed to occur" (DEF), etc. **Examples:** * Radiologic investigations that might include administration of a dye, followed by radiographic observations; * "Isolate cluster" which includes all testing and specimen processing performed on a specific isolate; * a set of actions to perform at a particular stage in a clinical trial.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 20088
property:
  code:
    v: Name:Class
  value:
    v: Cluster
property:
  code:
    v: subsumedBy
  value:
    v: GROUPER
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: _ActClassROI
display:
  v: ActClassROI
definition:
  v: Regions of Interest (ROI) within a subject Act. Primarily used for making secondary observations on a subset of a subject observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.
property:
  code:
    v: notSelectable
  value:
    v: true
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 20847
property:
  code:
    v: Name:Class
  value:
    v: RegionOfInterest
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: _SubjectPhysicalPosition
display:
  v: subject physical position
definition:
  v: 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:
    v: notSelectable
  value:
    v: true
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21929
property:
  code:
    v: Name:Class
  value:
    v: SubjectPhysicalPosition
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ALRT
display:
  v: detected issue
definition:
  v: An observation identifying a potential adverse outcome as a result of an Act or combination of Acts. *Examples:* Detection of a drug-drug interaction; Identification of a late-submission for an invoice; Requesting discharge for a patient who does not meet hospital-defined discharge criteria. *Discussion:* This class is commonly used for identifying 'business rule' or 'process' problems that may result in a refusal to carry out a particular request. In some circumstances it may be possible to 'bypass' a problem by modifying the request to acknowledge the issue and/or by providing some form of mitigation. *Constraints:* the Act or Acts that may cause the the adverse outcome are the target of a subject ActRelationship. The subbtypes of this concept indicate the type of problem being detected (e.g. drug-drug interaction) while the Observation.value is used to repesent a specific problem code (e.g. specific drug-drug interaction id).
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 16123
property:
  code:
    v: Name:Class
  value:
    v: DetectedIssue
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: BATTERY
display:
  v: battery
definition:
  v: **Definition:** An observation that is composed of a set of observations. These observations typically have a logical or practical grouping for generally accepted clinical or functional purposes, such as observations that are run together because of automation. A battery can define required and optional component observations and, in some cases, will define complex rules that determine whether or not a particular observation is made. BATTERY is a constraint on the Observation class in that it is understood to always be composed of component observations. **UsageNotes:** The focus in a BATTERY is that it is composed of individual observations. In request (RQO) mood, a battery is a request to perform the component observations. In event (EVN) mood a battery is a reporting of associated set of observation events. In definition mood a battery is the definition of the associated set of observations. **Examples:** Vital signs, Full blood count, Chemistry panel.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: HL7usageNotes
  value:
    v: The focus in a BATTERY is that it is composed of individual observations. In request (RQO) mood, a battery is a request to perform the component observations. In event (EVN) mood a battery is a reporting of associated set of observation events. In definition mood a battery is the definition of the associated set of observations.
property:
  code:
    v: internalId
  value:
    v: 20089
property:
  code:
    v: Name:Class
  value:
    v: Battery
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CLNTRL
display:
  v: clinical trial
definition:
  v: The set of actions that define an experiment to assess the effectiveness and/or safety of a biopharmaceutical product (food, drug, device, etc.). In definition mood, this set of actions is often embodied in a clinical trial protocol; in event mood, this designates the aggregate act of applying the actions to one or more subjects.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 18972
property:
  code:
    v: Name:Class
  value:
    v: ClinicalTrial
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: CNOD
display:
  v: Condition Node
definition:
  v: An instance of Observation of a Condition at a point in time that includes any Observations or Procedures associated with that Condition as well as links to previous instances of Condition Node for the same Condition ***Deprecation Comment:*** This concept has been deprecated because an alternative structure for tracking the evolution of a problem has been presented and adopted by the Care Provision Work Group.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-07-12
property:
  code:
    v: internalId
  value:
    v: 18863
property:
  code:
    v: Name:Class
  value:
    v: ConditionNode
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: COND
display:
  v: Condition
definition:
  v: An observable finding or state that persists over time and tends to require intervention or management, and, therefore, distinguished from an Observation made at a point in time; may exist before an Observation of the Condition is made or after interventions to manage the Condition are undertaken. Examples: equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, chronic illness
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2012-11-09
property:
  code:
    v: internalId
  value:
    v: 18862
property:
  code:
    v: Name:Class
  value:
    v: Condition
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DGIMG
display:
  v: diagnostic image
definition:
  v: Class for holding attributes unique to diagnostic images.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 13921
property:
  code:
    v: Name:Class
  value:
    v: DiagnosticImage
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: GEN
display:
  v: genomic observation
definition:
  v: **Description:**An observation of genomic phenomena.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21997
property:
  code:
    v: Name:Class
  value:
    v: GenomicObservation
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: INVSTG
display:
  v: investigation
definition:
  v: An formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21323
property:
  code:
    v: Name:Class
  value:
    v: Investigation
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: OBSSER
display:
  v: observation series
definition:
  v: Container for Correlated Observation Sequences sharing a common frame of reference. All Observations of the same cd must be comparable and relative to the common frame of reference. For example, a 3-channel ECG device records a 12-lead ECG in 4 steps (3 leads at a time). Each of the separate 3-channel recordings would be in their own "OBSCOR". And, all 4 OBSCOR would be contained in one OBSSER because all the times are relative to the same origin (beginning of the recording) and all the ECG signals were from a fixed set of electrodes.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 18875
property:
  code:
    v: Name:Class
  value:
    v: ObservationSeries
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: POS
display:
  v: position
definition:
  v: An observation denoting the physical location of a person or thing based on a reference coordinate system.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21646
property:
  code:
    v: Name:Class
  value:
    v: Position
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SPCOBS
display:
  v: specimen observation
definition:
  v: An observation on a specimen in a laboratory environment that may affect processing, analysis or result interpretation
designation:
  language:
    v: en
  use: http://snomed.info/id/900000000000013009
    system:
      v: http://snomed.info/sct
    code:
      v: 900000000000013009
  value:
    v: ActClassSpecObs
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 13949
property:
  code:
    v: Name:Class
  value:
    v: SpecimenObservation
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: VERIF
display:
  v: Verification
definition:
  v: An act which describes the process whereby a 'verifying party' validates either the existence of the Role attested to by some Credential or the actual Vetting act and its details.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21304
property:
  code:
    v: Name:Class
  value:
    v: Verfication
property:
  code:
    v: subsumedBy
  value:
    v: OBS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: OBSCOR
display:
  v: correlated observation sequences
definition:
  v: Container for Observation Sequences (Observations whose values are contained in LIST<>'s) having values correlated with each other. Each contained Observation Sequence LIST<> must be the same length. Values in the LIST<>'s are correlated based on index. E.g. the values in position 2 in all the LIST<>'s are correlated. This is analogous to a table where each column is an Observation Sequence with a LIST<> of values, and each row in the table is a correlation between the columns. For example, a 12-lead ECG would contain 13 sequences: one sequence for time, and a sequence for each of the 12 leads.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 18876
property:
  code:
    v: Name:Class
  value:
    v: CorrelatedObservation
property:
  code:
    v: subsumedBy
  value:
    v: OBSSER
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ENC
display:
  v: encounter
definition:
  v: An interaction between a patient and healthcare participant(s) for the purpose of providing patient service(s) or assessing the health status of a patient. For example, outpatient visit to multiple departments, home health support (including physical therapy), inpatient hospital stay, emergency room visit, field visit (e.g., traffic accident), office visit, occupational therapy, telephone call.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 11542
property:
  code:
    v: Name:Class
  value:
    v: Encounter
property:
  code:
    v: subsumedBy
  value:
    v: PCPR
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: JURISPOL
display:
  v: jurisdictional policy
definition:
  v: **Description:**A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by a jurisdiction on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**A jurisdictional mandate regarding the prescribing and dispensing of a particular medication. A jurisdictional privacy or security regulation dictating the manner in which personal health information is disclosed. A jurisdictional requirement that certain services or health conditions are reported to a monitoring program, e.g., immunizations, methadone treatment, or cancer registries.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21982
property:
  code:
    v: Name:Class
  value:
    v: JurisdictionalPolicy
property:
  code:
    v: subsumedBy
  value:
    v: POLICY
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: ORGPOL
display:
  v: organizational policy
definition:
  v: **Description:**A mandate, obligation, requirement, rule, or expectation unilaterally imposed by an organization on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**A clinical or research protocols imposed by a payer, a malpractice insurer, or an institution to which a provider must adhere. A mandate imposed by a denominational institution for a provider to provide or withhold certain information from the patient about treatment options.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21983
property:
  code:
    v: Name:Class
  value:
    v: OrganizationalPolicy
property:
  code:
    v: subsumedBy
  value:
    v: POLICY
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SCOPOL
display:
  v: scope of practice policy
definition:
  v: **Description:**An ethical or clinical obligation, requirement, rule, or expectation imposed or strongly encouraged by organizations that oversee particular clinical domains or provider certification which define the boundaries within which a provider may practice and which may have legal basis or ramifications on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**An ethical obligation for a provider to fully inform a patient about all treatment options. An ethical obligation for a provider not to disclose personal health information that meets certain criteria, e.g., where disclosure might result in harm to the patient or another person. The set of health care services which a provider is credentialed or privileged to provide.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21984
property:
  code:
    v: Name:Class
  value:
    v: ScopeOfPracticePolicy
property:
  code:
    v: subsumedBy
  value:
    v: POLICY
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: STDPOL
display:
  v: standard of practice policy
definition:
  v: **Description:**A requirement, rule, or expectation typically documented as guidelines, protocols, or formularies imposed or strongly encouraged by an organization that oversees or has authority over the practices within a domain, and which may have legal basis or ramifications on: * The activity of another party * The behavior of another party * The manner in which an act is executed **Examples:**A payer may require a prescribing provider to adhere to formulary guidelines. An institution may adopt clinical guidelines and protocols and implement these within its electronic health record and decision support systems.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21985
property:
  code:
    v: Name:Class
  value:
    v: StandardOfPracticePolicy
property:
  code:
    v: subsumedBy
  value:
    v: POLICY
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: POSACC
display:
  v: position accuracy
definition:
  v: **Description:**An observation representing the degree to which the assignment of the spatial coordinates, based on a matching algorithm by a geocoding engine against a reference spatial database, matches true or accepted values.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21648
property:
  code:
    v: Name:Class
  value:
    v: PositionAccuracy
property:
  code:
    v: subsumedBy
  value:
    v: POS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: POSCOORD
display:
  v: position coordinate
definition:
  v: **Description:**An observation representing one of a set of numerical values used to determine the position of a place. The name of the coordinate value is determined by the reference coordinate system.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21647
property:
  code:
    v: Name:Class
  value:
    v: PositionCoordinate
property:
  code:
    v: subsumedBy
  value:
    v: POS
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SBADM
display:
  v: substance administration
definition:
  v: The act of introducing or otherwise applying a substance to the subject. *Discussion:* The effect of the substance is typically established on a biochemical basis, however, that is not a requirement. For example, radiotherapy can largely be described in the same way, especially if it is a systemic therapy such as radio-iodine. This class also includes the application of chemical treatments to an area. *Examples:* Chemotherapy protocol; Drug prescription; Vaccination record
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 11528
property:
  code:
    v: Name:Class
  value:
    v: SubstanceAdministration
property:
  code:
    v: subsumedBy
  value:
    v: PROC
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SBEXT
display:
  v: Substance Extraction
definition:
  v: **Description:** The act of removing a substance from the subject.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 22832
property:
  code:
    v: Name:Class
  value:
    v: SubstanceExtraction
property:
  code:
    v: subsumedBy
  value:
    v: PROC
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: SPECCOLLECT
display:
  v: Specimen Collection
definition:
  v: A procedure for obtaining a specimen from a source entity.
property:
  code:
    v: status
  value:
    v: active
property:
  code:
    v: internalId
  value:
    v: 21457
property:
  code:
    v: Name:Class
  value:
    v: SpecimenCollection
property:
  code:
    v: subsumedBy
  value:
    v: SBEXT
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: DIET
display:
  v: diet
definition:
  v: Diet services are supply services, with some aspects resembling Medication services: the detail of the diet is given as a description of the Material associated via Participation.typeCode="product". Medically relevant diet types may be communicated in the Diet.code attribute using domain ActDietCode, however, the detail of the food supplied and the various combinations of dishes should be communicated as Material instances. **Deprecation Note** **Class:** Use either the Supply class (if dealing with what should be given to the patient) or SubstanceAdministration class (if dealing with what the patient should consume) **energyQuantity:** This quantity can be conveyed by using a Content relationship with a quantity attribute expressing the calories **carbohydrateQuantity:**This quantity can be conveyed using a Content relationship to an Entity with a code of carbohydrate and a quantity attribute on the content relationship.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-08-20
property:
  code:
    v: internalId
  value:
    v: 16109
property:
  code:
    v: Name:Class
  value:
    v: Diet
property:
  code:
    v: subsumedBy
  value:
    v: SPLY
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: RTRD
display:
  v: reverse trendelenburg
definition:
  v: Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-07-12
property:
  code:
    v: internalId
  value:
    v: 21937
property:
  code:
    v: subsumedBy
  value:
    v: SUP
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &

code:
  v: TRD
display:
  v: trendelenburg
definition:
  v: Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised. ***Deprecation Comment:*** This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: deprecationDate
  value:
    v: 2009-07-12
property:
  code:
    v: internalId
  value:
    v: 21936
property:
  code:
    v: subsumedBy
  value:
    v: SUP
property:
  code:
    v: Name:Participation:act:Act
  value:
    v: &