conceptdomains
type: CodeSystem
node role: treeRoot
id:
  v: conceptdomains
text:
  status:
    v: generated
  div: Generated Narrative: CodeSystem conceptdomains Properties This code system defines the following properties for its concepts Name Code URI Type Description Conceptual Space For ClassCode ConceptualSpaceForClassCode http://terminology.hl7.org/CodeSystem/utg-concept-properties#ConceptualSpaceForClassCode Coding Conceptual Space For ClassCode Deprecated deprecated http://hl7.org/fhir/concept-properties#deprecated dateTime Date when the concept was deprecated. Deprecation Informaton DeprecationInfo http://terminology.hl7.org/CodeSystem/utg-concept-properties#DeprecationInfo string Descriptive text about deprecation. Status status http://hl7.org/fhir/concept-properties#status code Status of the domain; retired or deprecated otherwise active. HL7 Concept Usage Notes HL7usageNotes http://terminology.hl7.org/CodeSystem/utg-concept-properties#HL7usageNotes string HL7 Concept Usage Notes Parent subsumedBy http://hl7.org/fhir/concept-properties#parent code The concept code of a parent concept C1 Binding Effective Date contextBindingC1-effectiveDate http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingC1-effectiveDate dateTime C1 Binding Effective Date C1 Binding Coding Strength contextBindingC1-strength http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingC1-strength code C1 Binding Coding Strength C1 Bound ValueSet contextBindingC1-valueSet http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingC1-valueSet string C1 Bound ValueSet R1 Binding Effective Date contextBindingR1-effectiveDate http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingR1-effectiveDate dateTime R1 Binding Effective Date R1 Binding Coding Strength contextBindingR1-strength http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingR1-strength code R1 Binding Coding Strength R1 Bound ValueSet contextBindingR1-valueSet http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingR1-valueSet stri…
url:
  v: http://terminology.hl7.org/CodeSystem/conceptdomains
version:
  v: 3.0.0
name:
  v: ConceptDomains
title:
  v: Concept Domains
status:
  v: active
experimental:
  v: false
date:
  v: 2024-08-16T17:28:57+00:00
publisher:
  v: Health Level Seven International
contact:
  telecom:
    system:
      v: url
    value:
      v: http://hl7.org
  telecom:
    system:
      v: email
description:
  v: Concept Domains - includes both v2 abd v3 concept domains
copyright:
  v: Copyright HL7. Licensed under creative commons public domain
case sensitive:
  v: true
hierarchy meaning:
  v: is-a
compositional:
  v: false
version needed:
  v: false
content:
  v: complete
property:
  code:
    v: ConceptualSpaceForClassCode
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#ConceptualSpaceForClassCode
  description:
    v: Conceptual Space For ClassCode
  type:
    v: Coding
property:
  code:
    v: deprecated
  uri:
    v: http://hl7.org/fhir/concept-properties#deprecated
  description:
    v: Date when the concept was deprecated.
  type:
    v: dateTime
property:
  code:
    v: DeprecationInfo
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#DeprecationInfo
  description:
    v: Descriptive text about deprecation.
  type:
    v: string
property:
  code:
    v: status
  uri:
    v: http://hl7.org/fhir/concept-properties#status
  description:
    v: Status of the domain; retired or deprecated otherwise active.
  type:
    v: code
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: subsumedBy
  uri:
    v: http://hl7.org/fhir/concept-properties#parent
  description:
    v: The concept code of a parent concept
  type:
    v: code
property:
  code:
    v: contextBindingC1-effectiveDate
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingC1-effectiveDate
  description:
    v: C1 Binding Effective Date
  type:
    v: dateTime
property:
  code:
    v: contextBindingC1-strength
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingC1-strength
  description:
    v: C1 Binding Coding Strength
  type:
    v: code
property:
  code:
    v: contextBindingC1-valueSet
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingC1-valueSet
  description:
    v: C1 Bound ValueSet
  type:
    v: string
property:
  code:
    v: contextBindingR1-effectiveDate
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingR1-effectiveDate
  description:
    v: R1 Binding Effective Date
  type:
    v: dateTime
property:
  code:
    v: contextBindingR1-strength
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingR1-strength
  description:
    v: R1 Binding Coding Strength
  type:
    v: code
property:
  code:
    v: contextBindingR1-valueSet
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingR1-valueSet
  description:
    v: R1 Bound ValueSet
  type:
    v: string
property:
  code:
    v: contextBindingUS-effectiveDate
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingUS-effectiveDate
  description:
    v: US Binding Effective Date
  type:
    v: dateTime
property:
  code:
    v: contextBindingUS-strength
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingUS-strength
  description:
    v: US Binding Coding Strength
  type:
    v: code
property:
  code:
    v: contextBindingUS-valueSet
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingUS-valueSet
  description:
    v: US Bound ValueSet
  type:
    v: string
property:
  code:
    v: contextBindingUV-effectiveDate
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingUV-effectiveDate
  description:
    v: UV Binding Effective Date
  type:
    v: dateTime
property:
  code:
    v: contextBindingUV-strength
  uri:
    v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingUV-strength
  description:
    v: UV Binding Coding Strength
  type:
    v: code

code:
  v: contextBindingUV-valueSet
uri:
  v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingUV-valueSet
description:
  v: UV Bound ValueSet
type:
  v: string

code:
  v: contextBindingX1-effectiveDate
uri:
  v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingX1-effectiveDate
description:
  v: X1 Binding Effective Date
type:
  v: dateTime

code:
  v: contextBindingX1-strength
uri:
  v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingX1-strength
description:
  v: X1 Binding Coding Strength
type:
  v: code

code:
  v: contextBindingX1-valueSet
uri:
  v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#contextBindingX1-valueSet
description:
  v: X1 Bound ValueSet
type:
  v: string

code:
  v: openIssue
uri:
  v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#openIssue
description:
  v: Open Issue
type:
  v: string

code:
  v: source
uri:
  v: http://terminology.hl7.org/CodeSystem/utg-concept-properties#source
description:
  v: Source
type:
  v: code

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

code:
  v: AcknowledgementCondition
display:
  v: AcknowledgementCondition
definition:
  v: Acknowledgement Condition codes describe the conditions under which accept or application level acknowledgements are required to be returned in response to the message send operation.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.155
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01

code:
  v: AcknowledgementDetailCode
display:
  v: AcknowledgementDetailCode
definition:
  v: A site specific code indicating the specific problem being reported by this Ack Detail.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19638
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: AcknowledgementDetailNotSupportedCode
  display:
    v: AcknowledgementDetailNotSupportedCode
  definition:
    v: Refelects rejections because elements of the communication are not supported in the current context.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19640
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: AcknowledgementDetailSyntaxErrorCode
  display:
    v: AcknowledgementDetailSyntaxErrorCode
  definition:
    v: Reflects errors in the syntax or structure of the communication.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19639
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01

code:
  v: AcknowledgementDetailType
display:
  v: AcknowledgementDetailType
definition:
  v: A code identifying the specific message to be provided. A textual value may be specified as the print name, or for non-coded messages, as the original text.*Discussion:* 'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'*Examples:*
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19358
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: AcknowledgmentMessageType
  display:
    v: AcknowledgmentMessageType
  definition:
    v: Identifies the the kind of information specified in the acknowledgement message. Options are: Error, Warning or Information.
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: AcknowledgementType
display:
  v: AcknowledgementType
definition:
  v: Acknowledgement code as described in HL7 message processing rules.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.8
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActAppointmentType
display:
  v: ActAppointmentType
definition:
  v: **Description:** Types of acts that can be scheduled. **Examples:** * Follow-up appointment * New referral appointment * Consultation appointment * Specimen Collection appointment * Procedure appointment
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ActClass
display:
  v: ActClass
definition:
  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.)
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.11527
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ActClassExposure
  display:
    v: ActClassExposure
  definition:
    v: **Description:**The interaction of entities whereupon a subject entity is brought into proximity to a physical, chemical or biological agent. This includes intended exposure (e.g. administering a drug product) as well as accidental or environmental exposure. (Note: This class deals only with proximity and not the effectiveness of the exposure, i.e. not all exposed will suffer actual harm or benefit.) **Examples:**Exposure to radiation, drug administration, inhalation of peanut aerosol or viral particles.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19832
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CNE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActClassGenomicObservation
  display:
    v: ActClassGenomicObservation
  definition:
    v: **Description:**An observation of genomic phenomena.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19824
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CNE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActClassPolicy
  display:
    v: ActClassPolicy
  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: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19818
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CNE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActClassProcedure
  display:
    v: ActClassProcedure
  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: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19665
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CNE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActClassStorage
  display:
    v: ActClassStorage
  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: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19664
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CNE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: SubjectPhysicalPosition
  display:
    v: SubjectPhysicalPosition
  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: source
    value:
      v: v3
  concept:
    code:
      v: ImagingSubjectOrientation
    display:
      v: ImagingSubjectOrientation
    definition:
      v: A code specifying qualitatively the spatial relation between imaged object and imaging film or detector.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: SubjectBodyPosition
    display:
      v: SubjectBodyPosition
    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.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingC1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.19798

code:
  v: contextBindingC1-strength
value:
  v: CNE

code:
  v: contextBindingC1-effectiveDate
value:
  v: 2020-01-01

code:
  v: ActCode
display:
  v: ActCode
definition:
  v: The table that provides the detailed or rich codes for the Act classes. *Open Issue:* The hierarchy has issues and several of the existing domains may be moved under this new one; this must be examined and a proposal to clean up the hierarncy in the near future is needed *Open Issue:* The description of this domain seems odd and may be a leftover from long ago and needs improvement.
property:
  code:
    v: source
  value:
    v: v3
concept:
  code:
    v: ActAccountType
  display:
    v: ActAccountType
  definition:
    v: **Description:** Types of representation groupings of financial transactions that are tracked and reported together with a single balance. *Examples:* * Patient billing accounts * Cost center * Cash
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: ACCT
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.14809
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActAdjudicationType
  display:
    v: ActAdjudicationType
  definition:
    v: **Description:** Types of responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results. *Examples:* * adjudicated with adjustments * adjudicated as refused * adjudicated as submitted
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: ADJUD
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.17616
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
  concept:
    code:
      v: ActAdjudicationInformationCode
    display:
      v: ActAdjudicationInformationCode
    definition:
      v: Explanatory codes that provide information derived by an Adjudicator during the course of adjudicating an Invoice. Codes from this domain are purely information and do not materially affect the adjudicated Invoice. That is, codes do not impact or explain financial adjustments to an Invoice. A companion domain (ActAdjudicationReason) includes information reasons which have a financial impact on an Invoice (claim). Example adjudication information code is 54540 - Patient has reached Plan Maximum for current year. Codes from this domain further rationalizes ActAdjudicationCodes (e.g. AA - Adjudicated with Adjustment), which are used to describe the process of adjudicating an Invoice.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: ConceptualSpaceForClassCode
      value: Coding
  concept:
    code:
      v: ActAdjudicationResultActionType
    display:
      v: ActAdjudicationResultActionType
    definition:
      v: **Description:** Actions to be carried out by the recipient of the Adjudication Result information.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingR1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.17472
    property:
      code:
        v: contextBindingR1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingR1-effectiveDate
      value:
        v: 2020-01-01
concept:
  code:
    v: ActCareProvisionCode
  display:
    v: ActCareProvisionCode
  definition:
    v: **Description:**The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: PCPR
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19789
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
  concept:
    code:
      v: ActCareProvisionRequestType
    display:
      v: ActCareProvisionRequestType
    definition:
      v: **Description:**Concepts identifying different types of referral requests. These concepts identify the general type of care or category of services requested. They are not used to represent the indication or diagnosis which triggered the need for the referral. E.g. Anger management service, Intensive Care service, Orthodontics service.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: ActCredentialedCareCode
    display:
      v: ActCredentialedCareCode
    definition:
      v: **Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements. **Example:**Hospital license; physician license; clinic accreditation.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingC1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.19790
    property:
      code:
        v: contextBindingC1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingC1-effectiveDate
      value:
        v: 2020-01-01
    concept:
      code:
        v: ActCredentialedCareProvisionPersonCode
      display:
        v: ActCredentialedCareProvisionPersonCode

v: ADJUD

v: **Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.

code:
  v: source
value:
  v: v3

code:
  v: contextBindingC1-valueSet
value:
  v: 2.16.840.1.113883.1.11.19791

code:
  v: contextBindingC1-strength
value:
  v: CWE

code:
  v: contextBindingC1-effectiveDate
value:
  v: 2020-01-01

code:
  v: ActCredentialedCareProvisionProgramCode
display:
  v: ActCredentialedCareProvisionProgramCode
definition:
  v: **Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19792
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActEncounterType
display:
  v: ActEncounterType
definition:
  v: Concepts representing types of patient encounter such as ambulatory encounter, inpatient encounter or emergency encounter.
property:
  code:
    v: source
  value:
    v: v3
concept:
  code:
    v: ActEncounterAmbulatoryType
  display:
    v: ActEncounterAmbulatoryType
  definition:
    v: **Definition:**A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20356
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
  property:
    code:
      v: subsumedBy
    value:
      v: ActEncounterCode
concept:
  code:
    v: ActEncounterEmergencyType
  display:
    v: ActEncounterEmergencyType
  definition:
    v: **Definition:**A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20357
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
  property:
    code:
      v: subsumedBy
    value:
      v: ActEncounterCode
concept:
  code:
    v: ActEncounterFieldType
  display:
    v: ActEncounterFieldType
  definition:
    v: **Definition:**A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20358
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
  property:
    code:
      v: subsumedBy
    value:
      v: ActEncounterCode
concept:
  code:
    v: ActEncounterHomeHealthType
  display:
    v: ActEncounterHomeHealthType
  definition:
    v: **Definition:**Healthcare encounter that takes place in the residence of the patient or a designee
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20359
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
  property:
    code:
      v: subsumedBy
    value:
      v: ActEncounterCode
concept:
  code:
    v: ActEncounterInpatientType
  display:
    v: ActEncounterInpatientType
  definition:
    v: **Definition:**A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.16847
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
  property:
    code:
      v: subsumedBy
    value:
      v: ActEncounterCode
concept:
  code:
    v: ActEncounterShortStayType
  display:
    v: ActEncounterShortStayType
  definition:
    v: **Definition:**An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20360
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
  property:
    code:
      v: subsumedBy
    value:
      v: ActEncounterCode

code:
  v: ActEncounterVirtualType
display:
  v: ActEncounterVirtualType
definition:
  v: **Definition:**A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20361
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01
property:
  code:
    v: subsumedBy
  value:
    v: ActEncounterCode

code:
  v: EncounterAccident
display:
  v: EncounterAccident
definition:
  v: \*\*\*\* MISSING DEFINITIONS \*\*\*\*
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: ENC
property:
  code:
    v: subsumedBy
  value:
    v: ActEncounterCode

code:
  v: ActEncounterCode
display:
  v: ActEncounterCode
definition:
  v: Concepts representing types of patient encounter such as ambulatory encounter, inpatient encounter or emergency encounter. Note that this code is a synonym of ActEncounterType, and follows the original naming conventions for v3 Concept Domains, and is as published in the CDA R2 base; the naming conventions were corrected in later revisions of V3, but is kept here for backwards compatibility for the CDA R2 base.
property:
  code:
    v: source
  value:
    v: cda
property:
  code:
    v: synonymCode
  value:
    v: ActEncounterType

code:
  v: ActCodeProcessStep
display:
  v: ActCodeProcessStep
definition:
  v: **Description:** Codes for general process steps. **Examples:** * lab process steps * diagnostic imaging process steps * etc. *(Missing third example)*
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: SPCTRT
property:
  code:
    v: contextBindingX1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20340
property:
  code:
    v: contextBindingX1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingX1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ActLabProcessCodes
  display:
    v: ActLabProcessCodes
  definition:
    v: Codes for general laboratory process steps.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: ACT
  concept:
    code:
      v: ActInfoPersistCode
    display:
      v: ActInfoPersistCode
    definition:
      v: The act of storing information to long term storage.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: ConceptualSpaceForClassCode
      value: Coding
  concept:
    code:
      v: ActObservationVerificationCode
    display:
      v: ActObservationVerificationCode
    definition:
      v: The act of verifying an observations. The subject act related to the observation verification (act relationship SUBJ) must be an observation (OBS)
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: ConceptualSpaceForClassCode
      value: Coding
  concept:
    code:
      v: ActSpecimenAccessionCode
    display:
      v: ActSpecimenAccessionCode
    definition:
      v: The accession act related to a specimen or group of specimens.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: ConceptualSpaceForClassCode
      value: Coding
  concept:
    code:
      v: ActSpecimenLabelCode
    display:
      v: ActSpecimenLabelCode
    definition:
      v: The act of printing a specimen label. The printing of a label for a specimen container is a significant act in the workflow for collecting specimens.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: ConceptualSpaceForClassCode
      value: Coding
  concept:
    code:
      v: ActSpecimenManifestCode
    display:
      v: ActSpecimenManifestCode
    definition:
      v: The act of adding a specimen to a transportation manifest. For example a laboratory will pack together in a carton all the specimens to be shipped to a reference lab. An electronic manifest showing all the specimens in the shippment is communicated to the reference lab.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: ConceptualSpaceForClassCode
      value: Coding
  concept:
    code:
      v: ActSpecimenTransportCode
    display:
      v: ActSpecimenTransportCode
    definition:
      v: Transportation of a specimen.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: ConceptualSpaceForClassCode
      value: Coding
  concept:
    code:
      v: LabResultReportingProcessStepCode
    display:
      v: LabResultReportingProcessStepCode
    definition:
      v: **Definition:**Used to identify if a lab result is reported as preliminary, final, or corrected. Provides a consistent way to distinguish the business or reporting status of the lab result.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingX1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.20339
    property:
      code:
        v: contextBindingX1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingX1-effectiveDate
      value:
        v: 2020-01-01

v: STORE

v: OBS

v: ACSN

v: PROC

v: TRNS

v: TRNS

code:
  v: ActCognitiveProfessionalServiceCode
display:
  v: ActCognitiveProfessionalServiceCode
definition:
  v: Denotes the specific service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. Professional services are generally cognitive in nature and exclude surgical procedures. E.g. Provided training, Provided drug therapy review, Gave smoking-cessation counseling, etc.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: ACT

code:
  v: ActConsentType
display:
  v: ActConsentType
definition:
  v: **Definition:** The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: CONS
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20551
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ActDataConsentType
  display:
    v: ActDataConsentType
  definition:
    v: **Description:**The type of data consent directive.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActFinancialParticipationConsentType
  display:
    v: ActFinancialParticipationConsentType
  definition:
    v: **Description:**The type of financial participation consent directive. **Examples:** The Advanced Beneficiary Notice that Medicare patients consent or dissent to prior to receiving health services in the U.S. \\ Current values include consent to financial responsibility (1) if the service is not deemed medically necessary; (2) will self pay for a service; or (3) requests that payer be billed.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActInformationAccessCode
  display:
    v: ActInformationAccessCode
  definition:
    v: **Description:** The type of health information to which the subject of the information or the subject&\#039;s delegate consents or dissents. **Examples:** * allergy information * medication information * professional services information
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19910
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: AdvanceBeneficiaryNoticeType
  display:
    v: AdvanceBeneficiaryNoticeType
  definition:
    v: **Description:** Represents types of consent that patient must sign prior to receipt of service, which is required for billing purposes. **Examples:** * Advanced beneficiary medically necessity notice. * Advanced beneficiary agreement to pay notice. * Advanced beneficiary requests payer billed.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: CONS

code:
  v: ActContractType
display:
  v: ActContractType
definition:
  v: An agreement of obligation between two or more parties that is subject to contractual law and enforcement. *Examples:* approvals granted by a regulatory agency; contracts measured in financial terms; insurance coverage contracts.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: CNTRCT
concept:
  code:
    v: ActFinancialContractType
  display:
    v: ActFinancialContractType
  definition:
    v: A type of Act representing a contract whose value is measured in monetary terms. **Examples:** * insurance policy * providercontract * billing arrangement
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: FCNTRCT
  concept:
    code:
      v: ActCoverageTypeCode
    display:
      v: ActCoverageTypeCode
    definition:
      v: **Definition:** Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: ConceptualSpaceForClassCode
      value: Coding
    property:
      code:
        v: contextBindingC1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.19855
    property:
      code:
        v: contextBindingC1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingC1-effectiveDate
      value:
        v: 2020-01-01
    concept:
      code:
        v: ActCoverageEligibilityConfirmationCode
      display:
        v: ActCoverageEligibilityConfirmationCode
      definition:
        v: Indication of eligibility coverage for healthcare service(s) and/or product(s).
      property:
        value: Coding
    concept:
      code:
        v: ActCoverageLimitCode
      display:
        v: ActCoverageLimitCode
      definition:
        v: Criteria that are applicable to the authorized coverage.
      property:
        value: Coding
    concept:
      code:
        v: ActInsurancePolicyType
      display:
        v: ActInsurancePolicyType
      definition:
        v: **Description:** Types of insurance coverage legal documentation to cover healthcare costs. *Examples:* * Automobile * Extended healthcare * Worker's compensation
    concept:
      code:
        v: ActInsuranceTypeCode
      display:
        v: ActInsuranceTypeCode
      definition:
        v: **Definition:** Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured. *Discussion:* In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.
    concept:
      code:
        v: ActProgramTypeCode
      display:
        v: ActProgramTypeCode
      definition:
        v: **Definition:** A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds. *Discussion:* Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.
concept:
  code:
    v: ActFinancialTransactionType
  display:
    v: ActFinancialTransactionType
  definition:
    v: A type of Act representing any transaction between two accounts whose value is measured in monetary terms. **Examples:** * patient account transaction * encounter accounttransaction * cost center transaction
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: XACT
  concept:
    code:
      v: ActBillingArrangementType
    display:
      v: ActBillingArrangementType
    definition:
      v: **Description:** Types of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider for one or more occurrence or over a specified period. *Examples:* * Contract * Rostering * Capitation
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingR1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.17478
    property:
      code:
        v: contextBindingR1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingR1-effectiveDate
      value:
        v: 2020-01-01

v: COV

v: source

v: v3

v: ConceptualSpaceForClassCode

Coding
system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActClass
code:
  v: COV

v: source

v: v3

v: ConceptualSpaceForClassCode

Coding
system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActClass
code:
  v: COV

v: ActCoverageQuantityLimitCode

v: ActCoverageQuantityLimitCode

v: Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.

code:
  v: source
value:
  v: v3

code:
  v: contextBindingC1-valueSet
value:
  v: 2.16.840.1.113883.1.11.19933

code:
  v: contextBindingC1-strength
value:
  v: CWE

code:
  v: contextBindingC1-effectiveDate
value:
  v: 2020-01-01

v: ActCoveredPartyLimitCode

v: ActCoveredPartyLimitCode

v: Codes representing the types of covered parties that may receive covered benefits under a policy or program. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.

code:
  v: source
value:
  v: v3

code:
  v: ActCoveragePartyLimitGroupCode
display:
  v: ActCoveragePartyLimitGroupCode
definition:
  v: Codes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

v: source

v: v3

v: contextBindingR1-valueSet

v: 2.16.840.1.113883.1.11.19350

v: contextBindingR1-strength

v: CWE

v: contextBindingR1-effectiveDate

v: 2020-01-01

v: source

v: v3

v: contextBindingC1-valueSet

v: 2.16.840.1.113883.1.11.19856

v: contextBindingC1-strength

v: CWE

v: contextBindingC1-effectiveDate

v: 2020-01-01

v: ActHealthInsuranceTypeCode

v: ActHealthInsuranceTypeCode

v: **Definition:** Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).

code:
  v: source
value:
  v: v3

code:
  v: contextBindingC1-valueSet
value:
  v: 2.16.840.1.113883.1.11.19857

code:
  v: contextBindingC1-strength
value:
  v: CWE

code:
  v: contextBindingC1-effectiveDate
value:
  v: 2020-01-01

v: source

v: v3

v: contextBindingC1-valueSet

v: 2.16.840.1.113883.1.11.19858

v: contextBindingC1-strength

v: CWE

v: contextBindingC1-effectiveDate

v: 2020-01-01

code:
  v: ActDataOperationType
display:
  v: ActDataOperationType
definition:
  v: **Description:** Types of operations that may be performed on objects. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information. **Examples:** * Create * Update * Delete *Open Issue:* This is too restrictive to deal with what CBCC wants.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: CACT
concept:
  code:
    v: ActDataAccessOperationType
  display:
    v: ActDataAccessOperationType
  definition:
    v: **Description:** Types of operations that may accomplish access of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information. **Examples:** * Query * Search * Transport * Send * Receive
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: CACT
concept:
  code:
    v: ActDataCollectionOperationType
  display:
    v: ActDataCollectionOperationType
  definition:
    v: **Description:** Types of operations that may accomplish collection or related management of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information. **Examples:** * Create * Store * Archive
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: CACT
concept:
  code:
    v: ActDataDisclosureOperationType
  display:
    v: ActDataDisclosureOperationType
  definition:
    v: **Description:** Types of operations that may accomplish disclosure of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information. **Examples:** * Disclose * Forward * Publish
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: CACT
concept:
  code:
    v: ActDataUseOperationType
  display:
    v: ActDataUseOperationType
  definition:
    v: **Description:** Types of operations that may accomplish usage of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information. **Examples:** * Activate * Release * Execute Read * Display * Update * Append * Amend
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: CACT

code:
  v: ActDetectedIssueManagementType
display:
  v: ActDetectedIssueManagementType
definition:
  v: **Description:** Issue management types that dealing with detected issue observations. *Rationale:* Allows for consistent specification and interpretation of issue management.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.16695
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActDisciplinaryActionCode
display:
  v: ActDisciplinaryActionCode
definition:
  v: Includes coded types of actions that can be taken by a supervising entity in response to inappropriate action (or inaction) on the part of a supervised entity.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: DISPACT

code:
  v: ActEventCategoryWorkingListType
display:
  v: ActEventCategoryWorkingListType
definition:
  v: **Description:** List of broad catagorizations of clinical event records. **Examples:** * Allergies * Drugs * Referrals
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: LIST
concept:
  code:
    v: ActCommonCodedClinicalObservationCategoryListType
  display:
    v: ActCommonCodedClinicalObservationCategoryListType
  definition:
    v: **Description:**Lists of high-level categorizations for clinical coded observations that do not require numeric values with a specific unit of measure. **Examples:** * Symptoms * History * Observations
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: LIST
concept:
  code:
    v: ActSimpleMeasurableClinicalObservationCategoryListType
  display:
    v: ActSimpleMeasurableClinicalObservationCategoryListType
  definition:
    v: **Description:** of high-level categorization for clinical non-laboratory and non-diagnostic image measured observations with numeric values and specific units of measure. **Examples:** * Vital Signs * Physiological Measurements * Procedure Results
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: LIST

code:
  v: ActEventCriteriaType
display:
  v: ActEventCriteriaType
definition:
  v: **Description:** Describes types of criteria used when making observations, conducting procedures, and substance administrations. **Examples:** * medications * immunizations
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: ACT
concept:
  code:
    v: ActProcedureEventCriteriaType
  display:
    v: ActProcedureEventCriteriaType
  definition:
    v: **Description:** of procedure used for evaluating a precondition, goal, or trigger. **Examples:** * some radiology procedures * respiratory therapy * physical therapy
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActMood
      code:
        v: EVN.CRT
concept:
  code:
    v: ActSubstanceAdministrationEventCriteriaType
  display:
    v: ActSubstanceAdministrationEventCriteriaType
  definition:
    v: **Description:** Type of substance administration used for evaluating a precondition, goal, or trigger. **Examples:** * other substance administrations * respiratory therapy * immunizations
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActMood
      code:
        v: EVN.CRT
concept:
  code:
    v: ObservationEventCriteriaType
  display:
    v: ObservationEventCriteriaType
  definition:
    v: **Description:** of observation used for evaluating a precondition, goal, or trigger. **Examples:** * age-based criteria * diagnostic-based criteria * simple observation-based criteria (vital signs)
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActMood
      code:
        v: EVN.CRT
  concept:
    code:
      v: ObservationEventLabCriteriaType
    display:
      v: ObservationEventLabCriteriaType
    definition:
      v: **Description:** Type of observation used in lab for evaluating reference ranges. **Examples:** * age-based criteria * sex-based criteria * condition-based criteria
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: ConceptualSpaceForClassCode
      value: Coding

v: EVN.CRT

code:
  v: ActExposureCode
display:
  v: ActExposureCode
definition:
  v: Concepts that identify the type or nature of exposure interaction. Examples include "household", "care giver", "intimate partner", "common space", "common substance", etc. to further describe the nature of interaction.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: EXPOS
property:
  code:
    v: contextBindingX1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19938
property:
  code:
    v: contextBindingX1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingX1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActFinancialDetectedIssueManagementCode
display:
  v: ActFinancialDetectedIssueManagementCode
definition:
  v: Codes dealing with the management of Detected Issue observations for the financial acts domain.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: ACT

code:
  v: ActIncidentCode
display:
  v: ActIncidentCode
definition:
  v: **Definition:** Set of codes indicating the type of incident or accident.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: INC
concept:
  code:
    v: ActPatientSafetyIncidentCode
  display:
    v: ActPatientSafetyIncidentCode
  definition:
    v: **Definition:** A code specifying the particular kind of Patient Safety Incident that the Incident class instance represents. **Examples:**"Medication incident", "slips, trips and falls incident".The actual value set for the domain will be determined by each (realm) implementation, whose Patient Safety terminology will be specific, although probably linked to the WHO Patient Safety Taxonomy that is currently under development *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: ActInformationTransferCode
display:
  v: ActInformationTransferCode
definition:
  v: **Description:** Conveyance of the type of information transfer protocol.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: TRFR
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20289
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActInvoiceElementCode
display:
  v: ActInvoiceElementCode
definition:
  v: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: INVE
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19397
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ActInvoiceDetailCode
  display:
    v: ActInvoiceDetailCode
  definition:
    v: Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19401
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
  concept:
    code:
      v: ActInvoiceDetailClinicalProductCode
    display:
      v: ActInvoiceDetailClinicalProductCode
    definition:
      v: \*\*\*\* MISSING DEFINITIONS \*\*\*\*
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: ActInvoiceDetailClinicalServiceCode
    display:
      v: ActInvoiceDetailClinicalServiceCode
    definition:
      v: An identifying data string for healthcare procedures. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    property:
      code:
        v: source
      value:
        v: v3
    concept:
      code:
        v: CPT4
      display:
        v: CPT4
      definition:
        v: **Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL). *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    concept:
      code:
        v: CPT5
      display:
        v: CPT5
      definition:
        v: **Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL). *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    concept:
      code:
        v: HCPCS
      display:
        v: HCPCS
      definition:
        v: **Description:**Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes are procedure identifying codes. HCPCS is Health Care Finance AdministrationaTMs (HFCA) coding scheme to group procedures performed for payment to providers. contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    concept:
      code:
        v: ICD10PCS
      display:
        v: ICD10PCS
      definition:
        v: **Description:**International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) are procedure identifying codes. ICD-10-PCS describes the classification of inpatient procedures for statistical purposes. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    concept:
      code:
        v: ICD9PCS
      display:
        v: ICD9PCS
      definition:
        v: **Description:**International Classification of Diseases, 9th Revision, Procedure Coding System (ICD-9-PCS) are procedure identifying codes. ICD-9-PCS describes the classification of inpatient procedures for statistical purposes. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
  concept:
    code:
      v: ActInvoiceDetailTaxType
    display:
      v: ActInvoiceDetailTaxType
    definition:
      v: **Description:** Types of tax associated with billable services or products. *Examples:* * Provincial or State sales tax * Harmonized sales tax * Federal sales tax
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingR1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.19409
    property:
      code:
        v: contextBindingR1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingR1-effectiveDate
      value:
        v: 2020-01-01
  concept:
    code:
      v: HCPCSAccommodationCode
    display:
      v: HCPCSAccommodationCode
    definition:
      v: **Description:**External value set for accommodation types used in the U.S. Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    property:
      code:
        v: source
      value:
        v: v3
concept:
  code:
    v: ActInvoiceElementSummaryType
  display:
    v: ActInvoiceElementSummaryType
  definition:
    v: **Description:** Types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors. *Examples:* * number and total value of payable items; * number and value of same period nullify items; * number and value of prior nullify; * number of non-payable nullify items; * number of pending items; * number of rejected items; * number of adjudicated to zero items; * reimbursement items (e.g., pay patient) * Adjudicated non-payee payable prior-period electronic amount * Adjudicated nullified prior-period electronic amount * Adjudicated refused prior-period electronic amount
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.17522
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
  concept:
    code:
      v: ActInvoiceAdjudicationPaymentSummaryType
    display:
      v: ActInvoiceAdjudicationPaymentSummaryType
    definition:
      v: **Description:** Types of grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingR1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.19413

v: source

v: v3

v: source

v: v3

v: source

v: v3

v: source

v: v3

v: source

v: v3

code:
  v: contextBindingR1-strength
value:
  v: CWE

code:
  v: contextBindingR1-effectiveDate
value:
  v: 2020-01-01

code:
  v: ActInvoiceGroupType
display:
  v: ActInvoiceGroupType
definition:
  v: **Description:** Types of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for its immediate children invoice elements. *Examples:* * CPINV - Clinical product invoice * CSINV- Clinical service invoice * RXDINV - Drug invoice * RXCINV - Compound invoice * CSPINV - Combined service and clinical product invoice
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19398
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActInvoiceOverrideType
display:
  v: ActInvoiceOverrideType
definition:
  v: **Description:** Types of responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results. *Examples:* * Re-bill for the professional fee * Good faith override * Wasted Drug
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.17590
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActListCode
display:
  v: ActListCode
definition:
  v: Provides codes associated with ActClass value of LIST (working list)
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: LIST
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19364
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ActProcedureCategoryList
  display:
    v: ActProcedureCategoryList
  definition:
    v: **Description:**Describes the high level classification of professional services for grouping. **Examples:**Education, Counseling, Surgery, etc. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActTherapyDurationWorkingListCode
  display:
    v: ActTherapyDurationWorkingListCode
  definition:
    v: Codes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19710
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
  concept:
    code:
      v: ActMedicationTherapyDurationWorkingListCode
    display:
      v: ActMedicationTherapyDurationWorkingListCode
    definition:
      v: **Definition:**A collection of concepts that identifies different types of 'duration-based' mediation working lists. **Examples:**"Continuous/Chronic" "Short-Term" and "As Needed"
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingC1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.19788
    property:
      code:
        v: contextBindingC1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingC1-effectiveDate
      value:
        v: 2020-01-01

code:
  v: ActMonitoringProtocolType
display:
  v: ActMonitoringProtocolType
definition:
  v: **Description:** Identifies types of monitoring programs such as tracking specified medication prescribing e.g. narcotic(s), identifying investigational studies or identifying programs regarding reimbursement or prescribing privileges.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.16231
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActNonObservationIndicationCode
display:
  v: ActNonObservationIndicationCode
definition:
  v: **Description:**Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: ACT
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19778
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActOrderCode
display:
  v: ActOrderCode
definition:
  v: The type of order that was fulfilled by the clinical service
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: ACT

code:
  v: ActPolicyType
display:
  v: ActPolicyType
definition:
  v: **Description:**Types of policies that further specify the ActClassPolicy value set.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: POLICY
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19886
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ActPrivacyPolicyType
  display:
    v: ActPrivacyPolicyType
  definition:
    v: **Description:**Types of privacy policies that further specify the ActClassPolicy value set e.g. override policy, minor's rights to mask sensitive information policy, opt-in, opt-out policy.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20424
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
  concept:
    code:
      v: ActConsentDirectiveType
    display:
      v: ActConsentDirectiveType
    definition:
      v: **Description:**Specifies the type of consent directive indicated by an ActClassPolicy e.g., a 3rd party authorization to disclose or consent for a substitute decision maker (SDM) or a notice of privacy policy. Sibling to ActPrivacyPolicyType and Child of ActPolicyType.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingR1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.20425
    property:
      code:
        v: contextBindingR1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingR1-effectiveDate
      value:
        v: 2020-01-01
  concept:
    code:
      v: ActPrivacyLawPolicyType
    display:
      v: ActPrivacyLawPolicyType
    definition:
      v: **Description:** Types of jurisdictional mandates relating to privacy.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingX1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.20426
    property:
      code:
        v: contextBindingX1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingX1-effectiveDate
      value:
        v: 2020-01-01
  concept:
    code:
      v: ActSensitivityPrivacyPolicyType
    display:
      v: ActSensitivityPrivacyPolicyType
    definition:
      v: A sensitivity policy is adopted by an enterprise or group of enterprises (a "policy domain") through a formal data use agreement that stipulates the value, importance, and vulnerability of information. A sensitivity code representing a sensitivity policy may be associated with criteria such as categories of information or sets of information identifiers (e.g., a value set of clinical codes or branch in a code system hierarchy). These criteria may in turn be used for the Policy Decision Point in a Security Engine. A sensitivity code may be used to set the confidentiality code used on information about Acts and Roles to trigger the security mechanisms required to control how security principals (i.e., a person, a machine, a software application) may act on the information (e.g., collection, access, use, or disclosure). Sensitivity codes are never assigned to the transport or business envelope containing patient specific information being exchanged outside of a policy domain as this would disclose the information intended to be protected by the policy. When sensitive information is exchanged with others outside of a policy domain, the confidentiality code on the transport or business envelope conveys the receiver's responsibilities and indicates the how the information is to be safeguarded without unauthorized disclosure of the sensitive information. This ensures that sensitive information is treated by receivers as the sender intends, accomplishing interoperability without point to point negotiations.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingR1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.20428
    property:
      code:
        v: contextBindingR1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingR1-effectiveDate
      value:
        v: 2020-01-01
    concept:
      code:
        v: ActEntityInformationSensitivityPrivacyPolicyType
      display:
        v: ActEntityInformationSensitivityPrivacyPolicyType
      definition:
        v: **Description:** Types of Sensitivity policies that may apply to a sensitive attribute on an Entity.
    concept:
      code:
        v: ActInformationSensitivityPrivacyPolicyType
      display:
        v: ActInformationSensitivityPrivacyPolicyType
      definition:
        v: **Description:** Types of sensitivity policies that apply to Acts.
    concept:
      code:
        v: ActRoleInformationSensitivityPrivacyPolicyType
      display:
        v: ActRoleInformationSensitivityPrivacyPolicyType
      definition:
        v: **Description:** Types of sensitivity policies that apply to Roles.
concept:
  code:
    v: ActSecurityPolicyType
  display:
    v: ActSecurityPolicyType
  definition:
    v: Types of security policies that further specify the ActClassPolicy value set.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20444
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
  concept:
    code:
      v: ActObligationSecurityPolicyType
    display:
      v: ActObligationSecurityPolicyType
    definition:
      v: Conveys the mandated workflow action that an information custodian, receiver, or user must perform. *Usage Note:* Per ISO 22600-2, ObligationPolicy instances "are event-triggered and define actions to be performed by manager agent". Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.
    property:
      code:
        v: source
      value:
        v: v3

v: source

v: v3

v: source

v: v3

v: source

v: v3

v: contextBindingR1-valueSet

v: 2.16.840.1.113883.1.11.20430

v: contextBindingR1-strength

v: CWE

v: contextBindingR1-effectiveDate

v: 2020-01-01

code:
  v: contextBindingR1-valueSet
value:
  v: 2.16.840.1.113883.1.11.20445

code:
  v: contextBindingR1-strength
value:
  v: CWE

code:
  v: contextBindingR1-effectiveDate
value:
  v: 2020-01-01

code:
  v: ActRefrainSecurityPolicyType
display:
  v: ActRefrainSecurityPolicyType
definition:
  v: Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances. *Usage Notes:* ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.
property:
  code:
    v: HL7usageNotes
  value:
    v: ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20446
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActTrustPolicyType
display:
  v: ActTrustPolicyType
definition:
  v: A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions. Trust security metadata are observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \[Based on ISO IEC 10181-1 and NIST SP 800-63-2\] For example, identity proofing level of assurance and Trust Framework.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20530
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActPreferenceType
display:
  v: ActPreferenceType
definition:
  v: Concepts representing a type of preference that can be specified. **Examples:** * Food * Drug * Vegetarian * Sweets
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ActProcedureCode
display:
  v: ActProcedureCode
definition:
  v: **Description:** An identifying code for healthcare interventions/procedures. **Examples:** * immunization * appendectomy * physiotherapy
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: PROC
concept:
  code:
    v: ActBillableServiceCode
  display:
    v: ActBillableServiceCode
  definition:
    v: **Definition:** An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
  property:
    code:
      v: source
    value:
      v: v3
  concept:
    code:
      v: ActBillableTreatmentPlanCode
    display:
      v: ActBillableTreatmentPlanCode
    definition:
      v: *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: ActMedicalBillableServiceCode
    display:
      v: ActMedicalBillableServiceCode
    definition:
      v: **Definition:** An identifying code for billable medical services, as opposed to codes for similar services to identify them for clinical purposes. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: ActNonMedicalBillableServiceCode
    display:
      v: ActNonMedicalBillableServiceCode
    definition:
      v: **Definition:** An identifying code for billable services that are not medical procedures, such as social services or governmental program services. **Example:** Building a wheelchair ramp, help with groceries, giving someone a ride, etc. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    property:
      code:
        v: source
      value:
        v: v3
concept:
  code:
    v: ActMolecularInteractionType
  display:
    v: ActMolecularInteractionType
  definition:
    v: Chemical reactions in the widest sense of the word. *Examples:* Transcription (creating mRNA from a DNA gene), translation (creating a protein from mRNA), cleavage (hydrolysis of a peptide), substitution (replacing an element or residue with another, such as in glycosylation, phosphorylation), addition (adding a residue to a double bond), receptor binding.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActOralHealthProcedureCode
  display:
    v: ActOralHealthProcedureCode
  definition:
    v: **Description:**An identifying code for oral health interventions/procedures. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActOrderableProcedureCode
  display:
    v: ActOrderableProcedureCode
  definition:
    v: **Description:** Concept domain which includes those ActProcedureCodes which are appropriate for ordering. **Examples:** * physical therapies * excisions * surgery
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: PROC
concept:
  code:
    v: ActProductReconstitutionType
  display:
    v: ActProductReconstitutionType
  definition:
    v: DESCRIPTION Identifies the nature (or type) of transformation that a (medicinal) product may undergo, prior to its administration to a patient. **Examples:** * Dilution * Dissolution * Suspension
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActProfessionalServiceCode
  display:
    v: ActProfessionalServiceCode
  definition:
    v: **Description:** Denotes the specific professional service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. **Examples:** * adjustment of hearing aid * excision of skin lesion * stitching skin lacerations
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActSpecimenCollectionProcedureType
  display:
    v: ActSpecimenCollectionProcedureType
  definition:
    v: **Description:** Used to further classify the type of specimen collection procedure being documented. **Examples:** * Venipuncture * Swab * Biopsy
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: SPECCOLLECT
concept:
  code:
    v: ActSubstanceAdministrationCode
  display:
    v: ActSubstanceAdministrationCode
  definition:
    v: Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: SBADM
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19708
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
  property:
    code:
      v: synonymCode
    value:
      v: SubstanceAdministrationActCode
  concept:
    code:
      v: ActSubstanceAdministrationImmunizationCode
    display:
      v: ActSubstanceAdministrationImmunizationCode
    definition:
      v: The introduction of ??? with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.

code:
  v: source
value:
  v: v3

code:
  v: contextBindingC1-valueSet
value:
  v: 2.16.840.1.113883.1.11.19709

code:
  v: contextBindingC1-strength
value:
  v: CWE

code:
  v: contextBindingC1-effectiveDate
value:
  v: 2020-01-01

code:
  v: subsumedBy
value:
  v: SubstanceAdministrationActCode

code:
  v: SubstanceAdministrationActCode
display:
  v: SubstanceAdministrationActCode
definition:
  v: Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information. Note that this code is a synonym of ActSubstanceAdministrationCode, and follows the original naming conventions for v3 Concept Domains, and is as published in the CDA R2 base; the naming conventions were corrected in later revisions of V3, but is kept here for backwards compatibility for the CDA R2 base.
property:
  code:
    v: source
  value:
    v: cda
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: SBADM
property:
  code:
    v: synonymCode
  value:
    v: ActSubstanceAdministrationCode

code:
  v: ActSubstanceDerivationType
display:
  v: ActSubstanceDerivationType
definition:
  v: Acts of producing a substance by processing input material in any way thus deriving the product substance from the inputs *Examples:* Fermentation, filtration, separation, extraction, or any complex procedure involving multiple such steps. *UsageNotes:* This domain may involve molecular interactions as components, but substance derivation - even if implementing a single defined reaction on the molecular level - implies not only that reaction but the methods and devices by which to induce that reaction.
property:
  code:
    v: HL7usageNotes
  value:
    v: This domain may involve molecular interactions as components, but substance derivation - even if implementing a single defined reaction on the molecular level - implies not only that reaction but the methods and devices by which to induce that reaction.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ActSubstanceExtractionCode
display:
  v: ActSubstanceExtractionCode
definition:
  v: **Description:** In addition to the class code, further defines the type of substance extraction. **Examples:** * excision * surgical * passive
property:
  code:
    v: source
  value:
    v: v3
concept:
  code:
    v: ActBloodDonationType
  display:
    v: ActBloodDonationType
  definition:
    v: **Description:** Defines the type of blood donation. **Examples:** * autologous * directed * volunteer
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: NutritionModificationType
display:
  v: NutritionModificationType
definition:
  v: Concepts that are used to convey modifications to the food or serving utensils that should be given in a diet order. These can be derived from patient allergies, intolerances, or preferences. They can also be specific to the order and not have any relationship to the allergies, intolerances, or preferences. **Examples:** * Vegetarian * Liquids separate from solids * Small Portions * disposable utensils (for psych or isolation rooms)
property:
  code:
    v: source
  value:
    v: v3
concept:
  code:
    v: DietTextureModificationType
  display:
    v: DietTextureModificationType
  definition:
    v: A set of concepts that identifies any texture modifications that should be made to a diet order. **Examples:** * Pudding Thick * Pureed * Easy to Chew
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: ActProductApprovalType
display:
  v: ActProductApprovalType
definition:
  v: **Description:** An approval granted to a product by a regulatory agency or other government body. **Examples:** * Approval to sell * Approval to initiate clinical trial * Approval to market (i.e., advertise)
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: CNTRCT
concept:
  code:
    v: ActProductApprovalApplicationType
  display:
    v: ActProductApprovalApplicationType
  definition:
    v: **Description:** A type of application made in order to obtain a product approval from a regulatory agency or other government body. **Examples:** * Application for new approval * Application for renewal of approval * Application for variation of approval
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActProductApprovalProcessType
  display:
    v: ActProductApprovalProcessType
  definition:
    v: **Description:** A type of approval process by which a product approval is obtained from a regulatory agency or other government body. **Examples:** * Centralized process approval * Mutual recognition process approval * National process approval
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: ActProvenanceEventCurrentStateType
display:
  v: ActProvenanceEventCurrentStateType
definition:
  v: Types of state an act may exist in.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingX1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20547
property:
  code:
    v: contextBindingX1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingX1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActReactionActionTakenType
display:
  v: ActReactionActionTakenType
definition:
  v: **Description:** A type of act that indicates the action taken by a practitioner or other responsible party in response to the reaction/event that is reported in the ICSR. **Examples:** * failing device replaced * medication stopped * medication dose adjusted
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: ACT

code:
  v: ActRecordOrganizerType
display:
  v: ActRecordOrganizerType
definition:
  v: **Description:** A code further classifying the type of record organizer. Used with the ActClassRecordOrganizer ActClass concept domain. **Examples:** * CDA R2 * * Electrolytes Battery * Specimen Cluster
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: _ActClassRecordOrganizer
concept:
  code:
    v: ActCompositionType
  display:
    v: ActCompositionType
  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. *Examples:* document; authentication unit; transmission unit.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: COMPOSITION
  concept:
    code:
      v: ActContextOfUseType
    display:
      v: ActContextOfUseType
    definition:
      v: Identifies the heading under which a document is to appear in a pre-defined, pro forma table of contents for a collection of documents within a regulatory category. **Examples:** * m1-1-forms (eCTD module 1, forms) * m1-1-1-fda-form-1571 (eCTD. Module 1, specific FDA form) * m3-2-s-drug-substance (eCTD module 3, section 2, drug substance by substance) *Usage Note:* This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: ActKeywordsType
    display:
      v: ActKeywordsType
    definition:
      v: Codes for additional metadata to be assigned to document or context of use instances to organize a group of documents within the same table of contents heading. These external code systems specify the category or type of keyword (e.g. Species) and the applicable values. **Examples:** * Species code system * Species code * Sponsor's manufacturing site code system *Usage Note:* This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: ActRegulatoryCategoryType
    display:
      v: ActRegulatoryCategoryType
    definition:
      v: Identifies the regulatory processes and/or submission contents specified in law or practice for a particular realm used to organize submitted materials. **Examples:** * Application Type: NDA * Submission Type: Efficacy Supplement * Submission Unit Type: Amendment *Usage Note:* This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: DocumentType
    display:
      v: DocumentType
    definition:
      v: The kind of document. Possible values: discharge summary, progress note, Oncology note, etc.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: ConceptualSpaceForClassCode
      value: Coding
    property:
      code:
        v: contextBindingC1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.10870
    property:
      code:
        v: contextBindingC1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingC1-effectiveDate
      value:
        v: 2020-01-01
    concept:
      code:
        v: ActFinancialSupportingAttachmentCode
      display:
        v: ActFinancialSupportingAttachmentCode
      definition:
        v: **Description:**Identifies the type of document that was attached to support the processing of claims, adjudication decision determination or extensions to coverage.
      property:
        value: Coding
    concept:
      code:
        v: ActICSRDocumentType
      display:
        v: ActICSRDocumentType
      definition:
        v: **Description:** A type of document that has information related to the investigation of an adverse event or product problem report. **Examples:** * Autopsy report * toxicology report * clinical journal article
      property:
        value: Coding
    concept:
      code:
        v: ActIdentityDocumentCode
      display:
        v: ActIdentityDocumentCode
      definition:
        v: Code identifying the type of identification document (e.g. passport, drivers license) **Implementation Note:**The proposal called for a domain, but a code was also provided. When codes are available for the value set the code IDENTDOC (identity document) will be used as the headcode for the specializable value set. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    concept:
      code:
        v: ActInformationCategoryCode
      display:
        v: ActInformationCategoryCode
      definition:
        v: **Definition:**Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.
      property:
        value: Coding
    concept:
      code:
        v: ActInformRequestType
      display:
        v: ActInformRequestType
      definition:
        v: **Description:** Information type for which a provider is requesting routing of health information. This could include messaging of results or documents especially in the context of a specific service delivery location. **Examples:** * Diagnostic Image Interpretations * Lab Test Results * Electrocardiogram Reports
      property:
        value: Coding
    concept:
      code:
        v: ActMedicationDocumentCode
      display:
        v: ActMedicationDocumentCode
      definition:
        v: Indicates the types of documents that can be associated with a medication or group of medications. *Examples include:* Patient monographs, Provider monographs, Drug protocols, etc.
    concept:
      code:
        v: ActProductDocumentationType
      display:
        v: ActProductDocumentationType
      definition:
        v: **Description:** A type of documentation that is used to convey information about a product or an aspect of its life as a product - ranging from production to disposition. **Examples:** * Bill of lading * product label * Report of Product Disposal
      property:
        value: Coding
    concept:
      code:
        v: ActQualityMeasureDocumentType
      display:
        v: ActQualityMeasureDocumentType
      definition:
        v: A type of document used to represent a health quality measure (aka eMeasure).
    concept:
      code:
        v: ActRPSDocumentType
      display:
        v: ActRPSDocumentType
      definition:
        v: Identifies the document type from a regulator-defined set of codes similar to the ICH-defined File Tags used on clinical study documents in an eCTD. **Examples:** * Pre-clinical study report * Study report * Sample CRF *Usage Note:* This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.
    concept:
      code:
        v: ActSpecialAuthorizationCode
      display:
        v: ActSpecialAuthorizationCode
      definition:
        v: **Description:**Constrains vocabulary to that which describes the type of documents that can be attached to a financial transaction such as a Special Authorization Request. Example values under this concept domain could be: drug, device, service, etc.
      property:
        value: Coding
concept:
  code:
    v: ActGrouperType
  display:
    v: ActGrouperType
  definition:
    v: **Description:** Further defines the type of grouping of orders or events. This concept domain is intended to be used with the GROUPER Act class code. **Examples:** * requisition * pre-coordinated order set * custom order set
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding

v: DOC

v: source

v: v3

v: ConceptualSpaceForClassCode

Coding
system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActClass
code:
  v: DOC

v: ActClaimAttachmentCode

v: ActClaimAttachmentCode

v: **Description:**Contrains the type of attachment (document, XRAY, bit map image, etc.) included to support a healthcare claim. Vocabulary bound to this domain should be a specification for the type of document (i.e. WCB First Report of Acccident - Form 8).

code:
  v: source
value:
  v: v3

code:
  v: contextBindingR1-valueSet
value:
  v: 2.16.840.1.113883.1.11.20362

code:
  v: contextBindingR1-strength
value:
  v: CWE

code:
  v: contextBindingR1-effectiveDate
value:
  v: 2020-01-01

v: ActSpecialAuthorizationAttachmentCode

v: ActSpecialAuthorizationAttachmentCode

v: **Description:**Identifies the type of document that is used to support a request which requires special authorization. Example values in this concept domain could be: coverage extensions, step therapy, medical report, lab result, etc.

code:
  v: source
value:
  v: v3

v: source

v: v3

v: ConceptualSpaceForClassCode

Coding
system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActClass
code:
  v: DOC

v: source

v: v3

v: source

v: v3

v: ConceptualSpaceForClassCode

Coding
system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActClass
code:
  v: DOC

v: contextBindingC1-valueSet

v: 2.16.840.1.113883.1.11.19752

v: contextBindingC1-strength

v: CWE

v: contextBindingC1-effectiveDate

v: 2020-01-01

v: source

v: v3

v: ConceptualSpaceForClassCode

Coding
system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActClass
code:
  v: DOC

v: source

v: v3

v: source

v: v3

v: ConceptualSpaceForClassCode

Coding
system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActClass
code:
  v: DOC

v: source

v: v3

v: contextBindingR1-valueSet

v: 2.16.840.1.113883.1.11.20365

v: contextBindingR1-strength

v: CWE

v: contextBindingR1-effectiveDate

v: 2020-01-01

v: source

v: v3

v: source

v: v3

v: ConceptualSpaceForClassCode

Coding
system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActClass
code:
  v: DOC

Coding
system:
  v: http://terminology.hl7.org/CodeSystem/v3-ActClass
code:
  v: GROUPER

code:
  v: ActICSRRecordOrganizerType
display:
  v: ActICSRRecordOrganizerType
definition:
  v: **Description:** A type of concept that is used within adverse event and product problem reporting to organize data - often clinical in nature - provided for an investigative subject or other party within the scope of the investigation. **Examples:** * Medical history * previous drug reactions * immunization history
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: CATEGORY

code:
  v: ActRecordContainerType
display:
  v: ActRecordContainerType
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". *Examples:* category; document section; document body.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: CONTAINER
concept:
  code:
    v: DocumentSectionType
  display:
    v: DocumentSectionType
  definition:
    v: A type of document section (specialization of ActClass "DOCSECT").
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: DOCSECT
  concept:
    code:
      v: ActQualityMeasureSectionType
    display:
      v: ActQualityMeasureSectionType
    definition:
      v: A type of document section within a health quality measure (aka eMeasure), used to cluster the various parts of the eMeasure into a more human navigable format.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingR1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.20364
    property:
      code:
        v: contextBindingR1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingR1-effectiveDate
      value:
        v: 2020-01-01

code:
  v: ActRegistryCode
display:
  v: ActRegistryCode
definition:
  v: This is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Employee Registry, Tumor Registry.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: REG

code:
  v: ActRPSRegulatoryPolicy
display:
  v: ActRPSRegulatoryPolicy
definition:
  v: Identifies different classes of regulatory policy that can be applied within a Regulated Product Submission. *Usage Note:* This Domain is used to administratively group its subdomains specifically for usage in the RPS model, and is not intended to participate in any binidngs.
property:
  code:
    v: source
  value:
    v: v3
concept:
  code:
    v: ActRegulatoryStatusType
  display:
    v: ActRegulatoryStatusType
  definition:
    v: Identifies a temporary or final legal status assigned to a submission by a particular regulatory realm based on the laws and practices of the realm. **Examples:** * Active (as authorized by section abc) * Approved (under section xyz) * Withdrawn (under section pqr) *Usage Note:* This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActRPSProductCategoryType
  display:
    v: ActRPSProductCategoryType
  definition:
    v: Identifies the legal or administrative category assigned to a regulated product that determines or influences the way in which its submission is reviewed. **Examples:** * New active ingredients * New ethical combination drug * New administrative route *Usage Note:* This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActRPSReviewTimeType
  display:
    v: ActRPSReviewTimeType
  definition:
    v: Identifies the time period in which a submission of a given type is to be reviewed as established by law or practice in the particular regulatory realm. **Examples:** * 30 days, reduced time * 60 days, regular time * 90 days, extended time *Usage Note:* This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: ActServiceDeliveryLocationServiceType
display:
  v: ActServiceDeliveryLocationServiceType
definition:
  v: **Description:**Concepts representing the categorization of health services available at a particular delivery location site. **Examples:** * anesthetic service * colonoscopy service * orthopedic service
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ActServiceEventType
display:
  v: ActServiceEventType
definition:
  v: Concepts identifying the general type of care or category of services being documented. **Examples:** * Colonoscopy * appendectomy * laboratory test
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ActSubstanceAdminSubstitutionCode
display:
  v: ActSubstanceAdminSubstitutionCode
definition:
  v: **Definition:**Identifies the types of substitution that may be permitted when ordering a medication, as well as those which have actually occurred during the act of dispensing.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: SUBST
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.16621
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActSupplyType
display:
  v: ActSupplyType
definition:
  v: **Description:** Further defines the type of supply for order or distribution. **Examples:** * central supply * materials management * nurse station supply
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: SPLY
concept:
  code:
    v: ActPharmacySupplyType
  display:
    v: ActPharmacySupplyType
  definition:
    v: **Definition:**Identifies types of dispensing events.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.16208
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActProductAcquisitionType
  display:
    v: ActProductAcquisitionType
  definition:
    v: **Description:** Financial Acquisition Terms: categorizations of acquisition terms for a product. Types of method a product can be obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods. *Examples:* * Loan * Rent * Sale
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: SPLY
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.17958
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActProductLifeCycleEventType
  display:
    v: ActProductLifeCycleEventType
  definition:
    v: **Description:** A type of activity that takes place during the life of a product as it moves from the point of production to the point of consumption, use, or disposition (most notably in the case of contaminated products). It will be possible for concepts at different levels of granularity to be included. **Examples:** * Manufacture * paint * wholesale * dispose
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: ACT
concept:
  code:
    v: OralDietSupplyType
  display:
    v: OralDietSupplyType
  definition:
    v: Concepts representing diets that can be taken via the mouth. **Examples:** * General * Pureed * Easy to Chew
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: ActTaskCode
display:
  v: ActTaskCode
definition:
  v: **Description:** A task or action that a user may perform in a clinical information system **Examples:** * medication order entry * laboratory test results review * problem list entry
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: ACT
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19846
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActTransportationModeCode
display:
  v: ActTransportationModeCode
definition:
  v: Characterizes how a transportation act was or will be carried out. *Examples:* Via private transport, via public transit, via courier.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: TRNS
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19732
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ActPatientTransportationModeCode
  display:
    v: ActPatientTransportationModeCode
  definition:
    v: Definition: Characterizes how a patient was or will be transported to the site of a patient encounter. *Examples:* Via ambulance, via public transit, on foot.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19733
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01

code:
  v: AdverseEventProductRelatedInvestigationType
display:
  v: AdverseEventProductRelatedInvestigationType
definition:
  v: **Description:** Different types that are used to organize and classify product related investigations. **Examples:** * Original source investigation * Secondary party investigation * Report to regulatory authority
property:
  code:
    v: source
  value:
    v: v3

code:
  v: DEADrugSchedule
display:
  v: DEADrugSchedule
definition:
  v: DEA schedule for a drug. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: HL7AccommodationCode
display:
  v: HL7AccommodationCode
definition:
  v: **Description:**Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: ACCM

code:
  v: HL7TriggerEventCode
display:
  v: HL7TriggerEventCode
definition:
  v: The trigger event referenced by the Control Act instance. Values are drawn from the available trigger events used in the release of HL7 identified by the versionCode.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: CACT
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20324
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: LaboratoryTriggerEventType
  display:
    v: LaboratoryTriggerEventType
  definition:
    v: **Description:** Trigger events associated with laboratory results. **Examples:** * Lab result activate * Lab result complete * Lab result abort
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: CACT
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20299
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: SpecimenProcessTriggerEventType
  display:
    v: SpecimenProcessTriggerEventType
  definition:
    v: **Description:** Trigger events associated with specimen process steps. **Examples:** * Specimen process step activate * Specimen process step complete * Specimen process step abort
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: CACT

code:
  v: ImmunizationForecastStatus
display:
  v: ImmunizationForecastStatus
definition:
  v: Used to represent the patient's status with respect to their immunization guideline as of an evaluation date.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.11.81
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ManufacturerActivityActType
display:
  v: ManufacturerActivityActType
definition:
  v: **Description:** The activity of businesses operating in the manufacture and distribution of products. **Examples:** * manufacture * repack * import
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: ACT
concept:
  code:
    v: MarketingActivityActType
  display:
    v: MarketingActivityActType
  definition:
    v: **Description:** The broad activity of businesses operating in the distribution of products, the general act of making a product available to the public. **Examples:** * Marketing, (this is required as a singleton value set, as there may be no other use case for this than to distinguish one Act of handling products from other Acts, such as manufacturing.)
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: ACT

code:
  v: ObservationType
display:
  v: ObservationType
definition:
  v: Identifies the kinds of observations that can be performed
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: OBS
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.16226
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ActDetectedIssueCode
  display:
    v: ActDetectedIssueCode
  definition:
    v: **Definition:**Identifies what type of issue detected during occurrence of an act (e.g. unrecognized identifiers, drug-drug contraindications, drug-allergy alerts). **Examples:** * High dosage alert * Conditional element missing * Timing detected issue
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: ALRT
  concept:
    code:
      v: ActFinancialDetectedIssueCode
    display:
      v: ActFinancialDetectedIssueCode
    definition:
      v: Identifies types of detected issues for Act class "ALRT" for the financial acts domain. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: ClinicalActionDetectedIssueCode
    display:
      v: ClinicalActionDetectedIssueCode
    definition:
      v: Identifies types of issues detected regarding the performance of a clinical action on a patient. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: MedicationIssueTypeCode
    display:
      v: MedicationIssueTypeCode
    definition:
      v: **Description:** Any type of issue that identifies a potential adverse situation that would or might occur with the described substance administration. **Examples:** * adverse effect * drug interaction * drug-food interaction
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: ConceptualSpaceForClassCode
      value: Coding
    concept:
      code:
        v: DrugActionDetectedIssueCode
      display:
        v: DrugActionDetectedIssueCode
      definition:
        v: Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
concept:
  code:
    v: ActObservationVerificationType
  display:
    v: ActObservationVerificationType
  definition:
    v: Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity. **Examples:** 1. Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program 2. Verification of record - e.g., person has record in an immunization registry 3. Verification of enumeration - e.g. NPI 4. Verification of Board Certification - provider specific 5. Verification of Certification - e.g. JAHCO, NCQA, URAC 6. Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria 7. Verification of Provider Credentials 8. Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: VERIF
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19794
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActPatientAnnotationCode
  display:
    v: ActPatientAnnotationCode
  definition:
    v: **Description:**Provides a categorization for annotations recorded directly against the patient
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: OBS
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20329
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActPrivilegeCategorization
  display:
    v: ActPrivilegeCategorization
  definition:
    v: An Act which characterizes a Privilege can have additional observations to provide a finer definition of the requested or conferred privilege. This domain describes the categories under which this additional information is classified.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: OBS
concept:
  code:
    v: ActPrivilegeCategorizationType
  display:
    v: ActPrivilegeCategorizationType
  definition:
    v: This domain includes observations used to characterize a privilege, under which this additional information is classified. *Examples:*A privilege to prescribe drugs has a RESTRICTION that excludes prescribing narcotics; a surgical procedure privilege has a PRE-CONDITION that it requires prior Board approval. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
  property:
    code:
      v: source
    value:
      v: v3

v: ALRT

v: source

v: v3

code:
  v: ActSecurityObjectCode
display:
  v: ActSecurityObjectCode
definition:
  v: **Description:**An access control object used to manage permissions and capabilities of users within information systems. (See HL7 RBAC specification fo examples of thes objects.) *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: AdverseSubstanceAdministrationEventActionTakenType
display:
  v: AdverseSubstanceAdministrationEventActionTakenType
definition:
  v: **Definition:** Indicates the class of actions taken with regard to a substance administration related adverse event. This characterization offers a judgment of the practitioner"s response to the patient"s problem. **Examples:** Example values include dose withdrawn, dose reduced, dose not changed. **NOTE:** The concept domain is currently supported by a value set created by the International Conference on Harmonization *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: AgeObservationType
display:
  v: AgeObservationType
definition:
  v: Categorization of types of observation that captures a person's age as a numeric quantity.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.11.79
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: CommonClinicalObservationType
display:
  v: CommonClinicalObservationType
definition:
  v: Used in a patient care message to report and query simple clinical (non-lab) observations. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3
concept:
  code:
    v: CommonCodedClinicalObservationType
  display:
    v: CommonCodedClinicalObservationType
  definition:
    v: **Description:** Identifies the type for a clinical observation whose value is expressed as a code. **Examples:** * Home support level * Tumor staging * abdominal pain characteristic
  property:
    code:
      v: source
    value:
      v: v3
  concept:
    code:
      v: CommonCodedClinicalObservationComponentType
    display:
      v: CommonCodedClinicalObservationComponentType
    definition:
      v: **Description:** Represents the components of a coded clinical observation. **Examples:** * ability to articulate * ability to chop food * ability to crouch
    property:
      code:
        v: source
      value:
        v: v3

code:
  v: CultureObservationType
display:
  v: CultureObservationType
definition:
  v: **Description:**To be used to code and identify the Microbiology laboratory orderable and resultable observation question. **Examples:** * Urine; Culture * Deep Wound; Aerobic Culture * Microscopic Examination; Gram Stain
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: OBS
concept:
  code:
    v: OrganismIdentificationObservationType
  display:
    v: OrganismIdentificationObservationType
  definition:
    v: **Description:**To be used to code and identify the Microbiology laboratory observation code that relates to the microorganism identification. **Examples:** * Bacteria identified * Bacteria identified in tissue * Fungus identified
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: OBS

code:
  v: DeviceCharacteristicObservationType
display:
  v: DeviceCharacteristicObservationType
definition:
  v: Identifies characteristics (physical, visual, clinical) that may be observed for a particular device or device type. **Examples:** * Height * Sterility * External diameter
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: OBS

code:
  v: DiagnosticImageCode
display:
  v: DiagnosticImageCode
definition:
  v: Identifies the types of diagnostic image. *Examples:* Echocardiogram, electocardiogram, X-ray.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: DiagnosticImageReportObservationType
display:
  v: DiagnosticImageReportObservationType
definition:
  v: Identifies the type of diagnostic image report. **Examples:** * Echocardiogram Report * Ultrasound Report * Nuclear Medicine Imaging Report
property:
  code:
    v: source
  value:
    v: v3

code:
  v: DiseaseCategorizationObservationType
display:
  v: DiseaseCategorizationObservationType
definition:
  v: **Description:** An observation that categorizes an existing observation of a disease, symptom or condition. *Usage Note:* The act being categorized should be an observation of a disease, symptom or condition; the categorizing act should be an observation of the category of that disease, symptom or condition, and the relationship between the two acts should be a "has generalization" relationship. **Examples:** * \[Observation of\] "thrombocytopenia" is categorized as an observation of "Haematologic system" category * \[Observation of\] "duodenal ulcer" is categorized as an observation of "Gastro-intestinal system" category * \[Observation of\] "eczema" is categorized as an observation of "Dermatologic system" category
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ECGAnnotationType
display:
  v: ECGAnnotationType
definition:
  v: *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ECGControlVariable
display:
  v: ECGControlVariable
definition:
  v: Identifies types of observations about the parameters required for acquisition and processing of ECG data. **Examples:** * item byte order * sample rate * displayed sweep rate
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: OBS

code:
  v: ECGObservationSequenceType
display:
  v: ECGObservationSequenceType
definition:
  v: *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: EventFrequencyObservationType
display:
  v: EventFrequencyObservationType
definition:
  v: **Description:** Identifies types of observations that describe or categorize an observation in terms of the frequency of the observed event occurring. **Examples:** * Very common * Uncommon * Rare
property:
  code:
    v: source
  value:
    v: v3

code:
  v: FDALabelData
display:
  v: FDALabelData
definition:
  v: FDA label data *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: FinancialClinicalSupportingObservationType
display:
  v: FinancialClinicalSupportingObservationType
definition:
  v: **Description:**Describes the supporting information for financial transactions such as a Special Authorization Request. Example values under this concept domain could be: height, weight, duration of disease, site of fistula, etc. This concept domain is intended to be used as part of a code/value pair within a generic structure that would convey ANY sort of information or proof of criteria that is needed to support a special authorization request.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: GeneticObservationType
display:
  v: GeneticObservationType
definition:
  v: **Description:** Identifies the kinds of genetic observations that can be performed.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingX1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20293
property:
  code:
    v: contextBindingX1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingX1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ICSRContextualObservationType
display:
  v: ICSRContextualObservationType
definition:
  v: **Description:** A type of observation on an investigative subject or a related entity that might be collected to provide the medical and social context for an adverse event report. **Examples:** * Diagnosis * laboratory result * autopsy determined cause of death
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ImmunizationForecastDate
display:
  v: ImmunizationForecastDate
definition:
  v: Specifies the type of date that is specified in an immunization forecast. The immunization forecast defines the schedule for a vaccine based on variables like the subject's age, the type of vaccine, and the supply unit. The immunization forecast may involve multiple administrations in a series or just one administration. Each of the administrations has one or more recommended dates. **Examples:** * Earliest recommended date * Recommended date * Latest acceptable date * Overdue date (date after which to start sending reminders)
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.82
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ImmunizationObservationType
display:
  v: ImmunizationObservationType
definition:
  v: **Description:** Types of observations which describe characteristics of the immunization material.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20410
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: IndividualCaseSafetyReportType
display:
  v: IndividualCaseSafetyReportType
definition:
  v: Types of case safety report received from sender. The current code example reference is from the International Conference on Harmonization (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports. The unknown/unavailable option allows the transmission of information from a secondary sender where the initial sender did not specify the type of report.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20394
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ICSR_InvestigationAssessmentActType
  display:
    v: ICSR_InvestigationAssessmentActType
  definition:
    v: **Description:** Concepts that define the primary orientation of a product related investigation. **Examples:** * Product defect * adverse event
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: ACT
concept:
  code:
    v: IndividualCaseSafetyReportCriteria
  display:
    v: IndividualCaseSafetyReportCriteria
  definition:
    v: **Description:** Includes those concepts that are provided to justify the fact that an adverse event or product problem is required to be reported in an expedited fashion.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: INVSTG
concept:
  code:
    v: IndividualCaseSafetyReportProductCharacteristic
  display:
    v: IndividualCaseSafetyReportProductCharacteristic
  definition:
    v: **Description:** Includes relevant pieces of information about a product or its process of creation. The vocabulary domain is used to characterize products when they are cited in adverse event or product problem reports. **Examples:**Weight, color, dimensions.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: INVSTG

code:
  v: IsolateObservationType
display:
  v: IsolateObservationType
definition:
  v: **Description:**To be used in the message when there is a requirement to communicate a result observation code that relates to a specific isolate. **Examples:** * Colony count * Colony count; Viability count FDA method * Growth rate; Visual method
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: OBS

code:
  v: KnowledgeSubjectObservationType
display:
  v: KnowledgeSubjectObservationType
definition:
  v: Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20384
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: KnowledgeSubTopicObservationType
display:
  v: KnowledgeSubTopicObservationType
definition:
  v: Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20385
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: MedicationObservationType
display:
  v: MedicationObservationType
definition:
  v: Identifies types of observations that can be made about a particular drug or medication.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.16226
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: MedicationSafetyReportObservationType
  display:
    v: MedicationSafetyReportObservationType
  definition:
    v: **Description:** Identifies types of observations about the Safety Reports required for a particular medication. **Examples:** * \[Observation of\] International Birth Date * \[Observation of\] Data Lock Point * \[Observation of\] Frequency of Safety Report Submission
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: PhysicalCharacteristicsMedicationObservationType
  display:
    v: PhysicalCharacteristicsMedicationObservationType
  definition:
    v: Identifies physical characteristics that may be observed for a particular medicinal product or medicinal product package of types thereof. **Examples:** * Height * Imprint * Shape * Color
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: ObservationActAgeGroupType
display:
  v: ObservationActAgeGroupType
definition:
  v: **Description:**To allow queries to specify useful information about the age of the patient without disclosing possible protected health information. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.11.80
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ObservationAllergyTestCode
display:
  v: ObservationAllergyTestCode
definition:
  v: **Description:**Dianostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge actiivities. **Example:**Skin tests and eosinophilia evaluations. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationAllergyTestType
display:
  v: ObservationAllergyTestType
definition:
  v: Indicates the type of allergy test performed or to be performed. E.g. the specific antibody or skin test performed *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationCaseStatusType
display:
  v: ObservationCaseStatusType
definition:
  v: **Description:** A code used to further identify the type of case status observation. Used with the OBS ActClass. **Examples:** * Clinical status * Administrative status * Reporting status
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationCausalityAssessmentType
display:
  v: ObservationCausalityAssessmentType
definition:
  v: **Description:**A kind of observation that allows a Secondary Observation (source act) to assert (at various levels of probability) that the target act of the association (which may be of any type of act) is implicated in the etiology of another observation that is named as the subject of the Secondary Observation **Example:**Causality assertions where an accident is the cause of a symptom; predisposition assertions where the genetic state plus environmental factors are implicated in the development of a disease; reaction assertions where a substance exposure is associated with a finding of wheezing. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationCoordinateAxisType
display:
  v: ObservationCoordinateAxisType
definition:
  v: **Description:** Identifies the individual coordinate in the coordinate system inclusive of any transformations or projections. **Examples:** meridian, range, township, longitude, latitude, lot, block, etc.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20326
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ObservationCoordinateSystemType
display:
  v: ObservationCoordinateSystemType
definition:
  v: **Description:** Identifies the coordinate system inclusive of any transformation projections.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20325
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ObservationDosageDefinitionPreconditionType
display:
  v: ObservationDosageDefinitionPreconditionType
definition:
  v: **Definition:** The set of observation type concepts that can be used to express pre-conditions to a particular dosage definition. Rationale: Used to constrain the set of observations to those related to the applicability of a dosage, such as height, weight, age, pregnancy, liver function, kidney function, etc. For example, in drug master-file type records indicating when a specified dose is applicable. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationGenomicFamilyHistoryType
display:
  v: ObservationGenomicFamilyHistoryType
definition:
  v: *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationIndicationType
display:
  v: ObservationIndicationType
definition:
  v: Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationIntoleranceType
display:
  v: ObservationIntoleranceType
definition:
  v: **Description:** Types of sensitivity caused by an exposure to a substance which results in an abnormal immunologic or non-immunologic response. **Examples:** * Food allergy * Environmental allergy * Fod intolerance
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationInvestigationType
display:
  v: ObservationInvestigationType
definition:
  v: **Description:** Used to further classify the type of investigation being documented. This concept domain is intended to be used with the INVSTG Act class code. **Examples:** * Public health case investigation * Safety investigation * Surveillance investigation
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationIssueTriggerCodedObservationType
display:
  v: ObservationIssueTriggerCodedObservationType
definition:
  v: Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19712
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ObservationIssueTriggerMeasuredObservationType
display:
  v: ObservationIssueTriggerMeasuredObservationType
definition:
  v: Distinguishes between the kinds of measurable observations that could be the trigger for clinical issue detection. Measurable observation types include: Lab Results, Height, Weight. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationLabReportType
display:
  v: ObservationLabReportType
definition:
  v: **Description:** A set of codes specifying the type of Laboratory Report. **Examples:** * Hematology reports * Chemistry reports * Blood gas reports
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: OBS

code:
  v: ObservationOrderableType
display:
  v: ObservationOrderableType
definition:
  v: **Description:** Identifies the type of observations that can be ordered. **Examples:** * lab tests * diagnostic imaging * device summary
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: OBS
concept:
  code:
    v: ObservationOrderableLabType
  display:
    v: ObservationOrderableLabType
  definition:
    v: **Description:** Identifies the ordered lab test. Also known as the lab order code or test code. **Examples:** * red blood cell count * components of a chemistry panel * microbiology sensitivity testing
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: ConceptualSpaceForClassCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-ActClass
      code:
        v: OBS

code:
  v: ObservationOutbreakExtentType
display:
  v: ObservationOutbreakExtentType
definition:
  v: **Description:** A code used to further identify the type of Outbreak Extent Observation. Used with the OBS ActClass. **Examples:** * Geographic extent * Jurisdictional extent
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationPositionAccuracyType
display:
  v: ObservationPositionAccuracyType
definition:
  v: **Description:** Identifies the type of position accuracy carried in observation value.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationPublicHealthCaseType
display:
  v: ObservationPublicHealthCaseType
definition:
  v: **Definition:**Identifies the kinds of public health cases. Used only with the CASE Act class code. Examples of types of public health cases includes reportable disease cases, radiation exposure cases and chemical exposure cases.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationPublicHealthOutbreakType
display:
  v: ObservationPublicHealthOutbreakType
definition:
  v: **Description:** Used to further classify the type of Outbreak being documented. This concept domain is intended to be used with the OUTB Act class code. **Examples:** * Epidemic * Pandemic * Endemic
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationQualityMeasureAttributeType
display:
  v: ObservationQualityMeasureAttributeType
definition:
  v: Codes used to define various metadata aspects of a health quality measure (specialization of ActClass "OBS").
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20366
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ObservationQueryMatchType
display:
  v: ObservationQueryMatchType
definition:
  v: **Definition:** An observation related to a query response. **Example:**The degree of match or match weight returned by a matching algorithm in a response to a query. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ObservationResultableType
display:
  v: ObservationResultableType
definition:
  v: **Description:** Identifies the type of observation that can be resulted. There are some labs which are not ordered and are performed and resulted when the outcome of an ordered test meets some criteria. **Examples:** * outcomes of lab tests * device summary * therapeutic drug level testing
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: OBS
concept:
  code:
    v: ObservationResultableLabType
  display:
    v: ObservationResultableLabType
  definition:
    v: **Description:** The type of lab observation being resulted. There are some lab tests which are not ordered and are performed and resulted when the outcome of an ordered test meets some criteria. **Examples:** * red blood cell count * results of micro sensitivity testing * *Missing third example*
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: ObservationVisionPrescriptionType
display:
  v: ObservationVisionPrescriptionType
definition:
  v: **Definition:** Identifies the type of Vision Prescription Observation that is being described. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: PatientCharacteristicObservationType
display:
  v: PatientCharacteristicObservationType
definition:
  v: Indicates the type of characteristics a patient should have for a given therapy to be appropriate. E.g. Weight, Age, certain lab values, etc. *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: PatientImmunizationRelatedObservationType
display:
  v: PatientImmunizationRelatedObservationType
definition:
  v: **Description:** Reporting codes that are related to an immunization event.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingX1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20411
property:
  code:
    v: contextBindingX1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingX1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: PopulationInclusionObservationType
display:
  v: PopulationInclusionObservationType
definition:
  v: Observation types for specifying criteria used to assert that a subject is included in a particular population. **Examples:** * denominator * numerator * initial population
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20476
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: PrescriptionObservationType
display:
  v: PrescriptionObservationType
definition:
  v: Observations specific to a particular prescription to express concepts that cannot be expressed via other modeling approaches. *Examples:* "Patient Medication On Hand Quantity", "Patient Medication On Hand Days Supply", "Patient Expected Supply Run-out Date", "Percentage Dispensed".
property:
  code:
    v: source
  value:
    v: v3

code:
  v: SecurityObservationType
display:
  v: SecurityObservationType
definition:
  v: Type of security metadata observation made about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used in security labels. *Rationale:* According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiatorÃs clearance to the targetÃs security label. All of the following must be true for authorization to be granted: * The security policy identifiers shall be identical, * The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and * For each security category in the target label, there shall be a security category of the same type in the initiatorÃs clearance and the initiatorÃs classification level shall dominate that of the target. *Usage Note:* SecurityObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the securty label tag set "SecurityObservationValue" value set.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20457
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: SecurityCategoryObservationType
  display:
    v: SecurityCategoryObservationType
  definition:
    v: Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone." *Rationale:* A security category observation supports the requirement to specify the type of IT resource in order to facilitate application of appropriate levels of security according to a range of levels of impact or consequences that might result form the unauthorized disclosure, modification, or use of the information or information system. A resource is assigned to a specific category of information (e.g., privacy, medical, proprietary, financial, investigative, contractor sensitive, security management) defined by an organization or in some instances, by a specific law, Executive Order, directive, policy, or regulation. \[FIPS 188\] **Examples:** Types of security categories include: * Compartment: A division of data into isolated blocks with separate security controls for the purpose of reducing risk. (ISO 2382-8). Security label metadata that "segments" an IT resource by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Classification System) * Sensitivity: The characteristic of a resource which implies its value or importance and may include its vulnerability. (ISO 7492-2) Privacy metadata for information perceived as undesirable to share. (HL7 Healthcare Classification System) *Usage Note:* SecurityCategoryObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tage set "SecurityCategoryObservatonValue" value set. Codes may be drawn from the union of the …
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20459
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: SecurityClassificationObservationType
  display:
    v: SecurityClassificationObservationType
  definition:
    v: Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection." Security classification metadata is based on an analysis of applicable policies and the risk of harm to an individual that could result from unauthorized disclosure. **Examples:** Types of security classification include: HL7 Confidentiality Codes such as very restricted, unrestricted, and normal. Intelligence community examples include top secret, security, and confidential. *Usage Note:* SecurityClassificationObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityClassificationObservationValue" value set. Note that an Act or Role may be associated with an Observation coded as SecurityClassificationObservationType with a SecurityClassificationObservationValue coded with a confidentiality code from V:Confidentiality Code to indicate that the confidentiality level indicated by an Act or Role confidentiality attribute has been overridden by the entity responsible for assigning the SecurityClassificationObservationValue. This supports the business requirement for increasing or decreasing the level of confidentiality (classification or declassification) based on parameters beyond the original assignment of an Act or Role confidentiality.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20458
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: SecurityControlObservationType
  display:
    v: SecurityControlObservationType
  definition:
    v: Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata convey instructions to users and receivers for secure distribution, transmission,and storage; dictate obligations or mandated actions; specify any action prohibited by refrain policy such as dissemination controls; and stipulate the permissible purpose of use of an IT resource. **Examples:** Types of security control metadata include handling: * caveats * dissemination controls * obligations * refrain policies * purpose of use constraints *Usage Note:* SecurityControlObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityControlObservationValue" value set. Codes may be drawn from the union of the following value sets: V:SecurityPolicy, V:ObligationiPolicy, V:RefrainPolicy, V:PurposeOfUse, and V:GeneralPurposeOfUse.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20460
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: SecurityIntegrityObservationType
  display:
    v: SecurityIntegrityObservationType
  definition:
    v: Type of security metadata observation made about the integrity of an IT resource (data, information object,service, or system capability), which may be used to make access control decisions. *Rationale:* Integrity security label fields support integrity models such as the Biba Integrity Model, the Lipner Full Integrity Model, and the Clar-Wilson Model. The value in the integrity label field indicates the degree of confidence that may be placed in the data and also indicates which measures the data requires for protection from modification and destruction. **Examples:** Types of security integrity observation metadata, which may value the observation include: * Integrity status, which indicates the completeness or workflow status of a resource (data, information object, service, or system capability); * Integrity confidence, which indicates the reliability and trustworthiness of the resource; * Integrity control, which indicates pertinent handling caveats, obligations, refrain policies, and purpose of use for the resource; * Data integrity, which indicate the security mechanisms used to ensure that the accuracy and consistency are preserved regardless of changes made (ISO/IEC DIS 2382-8); * Alteration integrity, which indicate the security mechanisms used for authorized transformations of the resource; * Integrity provenance, which indicates the second-hand origins of a reported or asserted resource. *Usage Note:* SecurityIntegrityObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityObservationValue" value set.
  property:
    code:
      v: source
    value:
      v: v3
  concept:
    code:
      v: SecurityAlterationIntegrityObservationType
    display:
      v: SecurityAlterationIntegrityObservationType
    definition:
      v: Type of security metadata observation made about the alteration integrity of an altered IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformation of the resource. **Examples:** Types of security alteration integrity observation metadata, which may value the observation with a code used to indicate the mechanism used for authorized transformation of an IT resource, include: * translation * syntactic transformation * semantic mapping * redaction * masking * pseudonymization * anonymization *Usage Note:* SecurityAlterationIntegrityObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityAlterationIntegrityObservationValue" value set, which convey the mechanism used for authorized transformation of an IT resource.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingR1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.20465
    property:
      code:
        v: contextBindingR1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingR1-effectiveDate
      value:
        v: 2020-01-01
  concept:
    code:
      v: SecurityDataIntegrityObservationType
    display:
      v: SecurityDataIntegrityObservationType
    definition:
      v: Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: "The property that data has not been altered or destroyed in an unauthorized manner", and by ISO/IEC 2382-8: "The property of data whose accuracy and consistency are preserved regardless of changes made." *Rationale:* In accordance with the HL7 RM-ES EHR-FM Profile Standard: The validity of a patient record entry requires an indelible statement (e.g., attestation or electronic signature) by the author(s) of completeness, accuracy, and affirmation that the record cannot be repudiated, assigning each author to his/her actual contributed content. **Examples:** Types of security data integrity observation metadata, which may value the observation, include: * cryptographic hash function * digital signature *Usage Note:* SecurityDataIntegrityObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityConfidenceObservationValue" value set.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingR1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.20464
    property:
      code:
        v: contextBindingR1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingR1-effectiveDate
      value:
        v: 2020-01-01
  concept:
    code:
      v: SecurityIntegrityConfidenceObservationType
    display:
      v: SecurityIntegrityConfidenceObservationType
    definition:
      v: Type of security metadata observation made about the integrity confidence of an IT resource (data, information object,service, or system capability) that indicates the reliability or trustworthiness of a resource, which may be used to make access control decisions. **Examples:** Types of security integrity confidence observation metadata, which may value the observation, include: * highly reliable * uncertain reliability * not reliable *Usage Note:* A security integrity confidence observation on an Act may indicated that a valued Act.uncertainty attribute has been overridden by the entity responsible for assigning the SecurityIntegrityConfidenceObservationValue. This supports the business requirements for increasing or decreasing the assessment of the reliability or trustworthiness of an IT resource based on parameters beyond the original assignment of an Act.uncertaintyCode.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingR1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.20463
    property:
      code:
        v: contextBindingR1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingR1-effectiveDate
      value:
        v: 2020-01-01
  concept:
    code:
      v: SecurityIntegrityProvenanceObservationType

v: SecurityIntegrityProvenanceObservationType

v: Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness and workflow status of an IT resource, such as create, modify, append, amend, suspend, archive, and delete; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure. Integrity provenance metadata about an IT resource may be used to assess its veracity, reliability, and trustworthiness. **Examples:** Types of security integrity provenance observation metadata, which may value the observation with a code used to indicate provenance, include the entity responsible for a report or assertion relayed "second-hand" about an IT resource. *Usage Note:* SecurityIntegrityProvenanceObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityProvenanceObservationValue" value set.

code:
  v: source
value:
  v: v3

code:
  v: contextBindingR1-valueSet
value:
  v: 2.16.840.1.113883.1.11.20466

code:
  v: contextBindingR1-strength
value:
  v: CWE

code:
  v: contextBindingR1-effectiveDate
value:
  v: 2020-01-01

code:
  v: SecurityIntegrityProvenanceAssertedByObservationType
display:
  v: SecurityIntegrityProvenanceAssertedByObservationType
definition:
  v: Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the entity responsible for an assertion relayed "second-hand" about an IT resource. *Rationale:* In accordance with HL7 RM-ES EHR-FM Profile at IN:1.8: If more than one author contributed to the EHR content, then the system shall provide the ability to associate and maintain all authors/contributors with their content. **Examples:** Types of security integrity provenance asserted by observation metadata, which may value the observation, include assertions about an IT resource by a patient, a clinician, or a device. *Usage Note:* SecurityIntegrityProvenanceAssertedByObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityProvenanceAssertedByObservationValue" value set.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20468
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: SecurityIntegrityProvenanceReportedByObservationType
display:
  v: SecurityIntegrityProvenanceReportedByObservationType
definition:
  v: Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the entity responsible for a report relayed "second-hand" about an IT resource. *Rationale:* In accordance with HL7 RM-ES EHR-FM Profile at IN:1.8: If more than one author contributed to the EHR content, then the system shall provide the ability to associate and maintain all authors/contributors with their content. **Examples:** Types of security integrity provenance observation metadata, which may value the observation with a code used to indicate provenance, include reports about an IT resource by a patient, a clinician, or a device. *Usage Note:* SecurityIntegrityProvenanceReportedByObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityProvenanceReportedByObservationValue" value set.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20467
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: SecurityIntegrityStatusObservationType
display:
  v: SecurityIntegrityStatusObservationType
definition:
  v: Type of security metadata observation made about the integrity status of an IT resource (data, information object,service, or system capability), which may be used to make access control decisions. Indicates the completeness or workflow status of an IT resource, which may impact which users that are authorized to access and use the resource. *Rationale:* In accordance with the HL7 RM-ES Profile Standard: The validity of a patient record entry requires an indelible statement (e.g., attestation or electronic signature) by the author(s) of completeness, accuracy, and affirmation that the record cannot be repudiated, assigning each author to his/her actual contributed content. **Examples:** Types of security integrity status observation metadata, which may value the observation, include codes from the HL7 DocumentCompletion value set such as: * legally authenticated * in progress * incomplete *Usage Note:* SecurityIntegrityStatusObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityStatusObservationValue" concept domain, which may be valued with coded concepts from the HL7 DocumentCompletion value set.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20462
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: SecurityTrustObservationType
display:
  v: SecurityTrustObservationType
definition:
  v: Type of security metadata observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \[Based on ISO IEC 10181-1 and NIST SP 800-63-2\] *Usage Note:* SecurityTrustObservationType may be used as a trust attribute in a computable trust policy, trust credential, trust assertion, or trust label field in a security label and populated with trust observation values. The valued trust attributes may be used for used for authentication, authorization, and access control decisions. These may also be used to negotiate trust relationships, adjudicate or bridge trust policies, and to specify requirements for participation in a Trust Domain or for asserting compliance with a Trust Framework.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20531
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: SecurityTrustAccreditationObservationType
  display:
    v: SecurityTrustAccreditationObservationType
  definition:
    v: Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20532
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: SecurityTrustAgreementObservationType
  display:
    v: SecurityTrustAgreementObservationType
  definition:
    v: Type of security metadata observation made about security requirements for a security domain. \[ISO IEC 10181-1\]
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20537
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: SecurityTrustAssuranceObservationType
  display:
    v: SecurityTrustAssuranceObservationType
  definition:
    v: Type of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20533
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: SecurityTrustCertificateObservationType
  display:
    v: SecurityTrustCertificateObservationType
  definition:
    v: Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \[Based on ISO IEC 10181-1\]
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20534
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: SecurityTrustFrameworkObservationType
  display:
    v: SecurityTrustFrameworkObservationType
  definition:
    v: Type of security metadata observation made about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20535
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: SecurityTrustMechanismObservationType
  display:
    v: SecurityTrustMechanismObservationType
  definition:
    v: Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20536
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01

code:
  v: SeverityObservationType
display:
  v: SeverityObservationType
definition:
  v: Categorization of types of observation that capture the interpretation of the result of a laboratory test in terms of normality.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20386
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: SimpleMeasurableClinicalObservationType
display:
  v: SimpleMeasurableClinicalObservationType
definition:
  v: Types of measurement observations typically performed in a clinical (non-lab) setting. E.g. Height, Weight, Blood-pressure *OpenIssue:* This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.
property:
  code:
    v: source
  value:
    v: v3
concept:
  code:
    v: SimpleMeasurableClinicalObservationComponentType
  display:
    v: SimpleMeasurableClinicalObservationComponentType
  definition:
    v: **Description:** Represents the components of a measured clinical observation. **Examples:** * the systolic and diastolic components of a blood pressure * 24-hour urine output * ARAC gene
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: SubstanceCharacteristicObservationType
display:
  v: SubstanceCharacteristicObservationType
definition:
  v: Distinguishing traits, qualities, or properties given about substances, including chemical structure (as encapsulated data in SMILES, MolFile, InChi), nucleic acid sequence, amino acid sequence, molecular sum formula; molecular mass; stereochemistry and optical activity properties; viscosity; pH, pKa, catalytic activity, etc.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: SusceptibilityBatteryType
display:
  v: SusceptibilityBatteryType
definition:
  v: **Description:**Ensures consistent coding of the susceptibility battery or panel. **Examples:** * Bacterial susceptibility panel * Fungal susceptibility panel * Mycobacterial susceptibility panel * Viral susceptibility panel
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: OBS

code:
  v: SusceptibilityObservationType
display:
  v: SusceptibilityObservationType
definition:
  v: **Description:**Ensures consistent coding of antimicrobial information in the Microbiology lab message. **Examples:** * Ciprofloxacin; Disk Diffusion (Kirby-Bauer) * Vancomycin * Tetracycline; Minimum Inhibitory Concentration
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: OBS

code:
  v: RegulationPolicyActType
display:
  v: RegulationPolicyActType
definition:
  v: **Description:** A rule set by regulators of product that somehow constrain the use of products. Regulator may be any organization with a mandate to issue such rules, regardless of level, regional, country, state, and local (e.g., an institutional Pharmaceutical and Treatment Committee.) **Examples:** * Prescription Only * Controlled Substance Schedule II * Standard of Practice
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: POLICY
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20370
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ResearchStudyType
display:
  v: ResearchStudyType
definition:
  v: **Description:** Different types of research studies that may be conducted and reported on. **Examples:** * Observational * Investigational
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: ConceptualSpaceForClassCode
  value: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-ActClass
    code:
      v: INVSTG

code:
  v: TriggerEventID
display:
  v: TriggerEventID
definition:
  v: **Description:** Trigger Event ID as published in the standard. ***Deprecation Comment:*** This Domain has been deprecated as the Domain HL7TriggerEventCode is being used instead, along with its subDomains. Please update designs that refer to this Domain and instead refer to the appropriate Domain in the HL7TriggerEventCode hierarchy.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: status
  value:
    v: deprecated
property:
  code:
    v: DeprecationInfo
  value:
    v: deprecationEffectiveVersion=866 coremifText=This element was deprecated as of the release indicated.
property:
  code:
    v: deprecated
  value:
    v: 2009-04-18

code:
  v: ActContextLevel
display:
  v: ActContextLevel
definition:
  v: **Description:** Code specifying the level within a hierarchical Act composition structure and the kind of contextual information attached to composite Acts ("containers") and propagated to component Acts within those containers. The levelCode signifies the position within such a containment hierarchy and the applicable constraints. *Examples:* The "extract level" and the "folder level" must contain data about a single individual, whereas the "multiple subject level" may contain data about multiple individuals. While "extract" can originate from multiple sources, a "folder" should originate from a single source. The "composition" level usually has a single author. *Constraints:* The constraints applicable to a particular level may include differing requirements for participations (e.g. patient, source organization, author or other signatory), relationships to or inclusion of other Acts, documents or use of templates. The constraints pertaining to a level may also specify the permissible levels that may be contained as components of that level. Several nested levels with the same levelCode may be permitted, prohibited (or limited). Instance of the next subordinate level are usually permitted within any level but some levels may be omitted from a model and it may be permissible to skip several layers. *Discussion:* The levelCode concepts have been defined to meet specific health record transfer requirements. While these concepts are known to be applicable to some other types of transactions, they are not intended to a be a complete closed list. Options exist for other sets of orthogonal levels where required to meet a business purpose (e.g. a multiple patient communication may be subdivided by a super-ordinate level of subject areas).
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ActExposureLevelCode
display:
  v: ActExposureLevelCode
definition:
  v: A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingX1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19939
property:
  code:
    v: contextBindingX1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingX1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActInvoiceElementModifier
display:
  v: ActInvoiceElementModifier
definition:
  v: Processing consideration and clarification codes.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.17704
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActMood
display:
  v: ActMood
definition:
  v: A code distinguishing whether an Act is conceived of as a factual statement or in some other manner as a command, possibility, goal, etc. *Constraints:* An Act-instance must have one and only one moodCode value. The moodCode of a single Act-instance never changes. Mood is not state. To describe the progression of a business activity from defined to planned to executed, etc. one must instantiate different Act-instances in the different moods and link them using ActRelationship of general type "sequel". (See ActRelationship.type.) *Discussion:* The Act.moodCode includes the following notions: (1) event, i.e., factual description of an actions that occurred; (2) definition of possible actions and action plans (the master file layer); (3) intent, i.e., an action plan instantiated for a patient as a care plan or order; (4) goal, i.e., an desired outcome attached to patient problems and plans; and (5) criterion, i.e., a predicate used as The Act.moodCode modifies the meaning of the Act class in a controlled way, just as in natural language, grammatical form of a verb modify the meaning of a sentence in defined ways. For example, if the mood is factual (event,) then the entire act object represents a known fact. If the mood expresses a plan (intent,) the entire act object represents the expectation of what should be done. The mood does not change the meaning of individual act properties in peculiar ways. Since the mood code is a determining factor for the meaning of an entire Act object, the mood must always be known. This means, whenever an act object is instantiated, the mood attribute must be assigned to a valid code, and the mood assignment can not change throughout the lifetime of an act object. As the meaning of an act object is factored in the mood code, the mood code affects the interpretation of the entire Act object and with it every property (attributes and associations.) Note that the mood code affects the interpretation of the act object, and the meaning of th…
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.10196
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ActMoodProposal
  display:
    v: ActMoodProposal
  definition:
    v: A non-mandated intent to perform an act. Used to record intents that are explicitly not Orders. Professional responsibility for the 'proposal' may or may not be present.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19746
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CNE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01

code:
  v: ActPriority
display:
  v: ActPriority
definition:
  v: A code or set of codes (e.g., for routine, emergency,) specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen. *Discussion:* This attribute is used in orders to indicate the ordered priority, and in event documentation it indicates the actual priority used to perform the act. In definition mood it indicates the available priorities.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.16866
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ActEncounterPriority
  display:
    v: ActEncounterPriority
  definition:
    v: **Description:** Types of priorities to determine start of an encounter.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19457
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActIssuePriority
  display:
    v: ActIssuePriority
  definition:
    v: Indicates the importance or priority associated with a detected issue.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19358
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01

code:
  v: ActReason
display:
  v: ActReason
definition:
  v: A code specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably representable as an ActRelationship of type "has reason" linking to another Act. *Examples:* Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law". Discussion Most reasons for acts can be clearly expressed by linking the new Act to another prior Act using an ActRelationship of type "has reason". This simply states that the prior Act is a reason for the new Act (see ActRelationship.) The prior act can then be a specific existing act or a textual explanation. This works for most cases, and the more specific the reason data is, the more should this reason ActRelationship be used instead of the reasonCode. The reasonCode remains as a place for common reasons that are not related to a prior Act or any other condition expressed in Acts. Indicators that something was required by law or was on the request of a patient etc. may qualify. However, if that piece of legislation, regulation, or the contract or the patient request can be represented as an Act (and they usually can), the reasonCode should not be used.
property:
  code:
    v: source
  value:
    v: v3
concept:
  code:
    v: ActAdjudicationReason
  display:
    v: ActAdjudicationReason
  definition:
    v: Explanatory codes that describe reasons why an Adjudicator has financially adjusted an invoice (claim). A companion domain (ActAdjudicationInformationCode) includes information reasons which do not have a financial impact on an invoice (claim). Example adjudication reason code is AA-CLAIM-0011 - Only Basic Procedure/Test Eligible. Codes from this domain further rationalizes ActAdjudicationCodes (e.g. AA - Adjudicated with Adjustment), which are used to describe the process of adjudicating an invoice. For AS - Adjudicated as Submitted, there should be no specification of ActAdjudicationReason codes, as there are no financial adjustments against the invoice.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActAntigenInvalidReason
  display:
    v: ActAntigenInvalidReason
  definition:
    v: **Description:** Describe why an antigen is considered to be invalid for use.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20409
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActBillableServiceReason
  display:
    v: ActBillableServiceReason
  definition:
    v: **Definition:** This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services.
  property:
    code:
      v: source
    value:
      v: v3
  concept:
    code:
      v: ActBillableClinicalServiceReason
    display:
      v: ActBillableClinicalServiceReason
    definition:
      v: **Description:** May be sent to indicate one or more reasons for the performance of a billable clinical service or product, and not related or specified by a diagnosis. *Examples:* * Duplicate Therapy * Care protocol * Insurance requirement
    property:
      code:
        v: source
      value:
        v: v3
    concept:
      code:
        v: MedicallyNecessaryDuplicateProcedureReason
      display:
        v: MedicallyNecessaryDuplicateProcedureReason
      definition:
        v: **Definition:** This domain is used to document why the procedure is a duplicate of one ordered/charged previously for the same patient within the same date of service and has been determined to be medically necessary. **Example:** A doctor needs a different view in a chest X-Ray.
  concept:
    code:
      v: ActBillableNonClinicalServiceReason
    display:
      v: ActBillableNonClinicalServiceReason
    definition:
      v: **Description:** Maybe sent to indicate one or more reasons for the performance of a non clinical service or product, and not related or specified by diagnosis. *Examples:* * Fraudulent prescription * Patient's preference * Physiotherapy equipment
    property:
      code:
        v: source
      value:
        v: v3
    concept:
      code:
        v: NonClinicalDuplicateServiceReason
      display:
        v: NonClinicalDuplicateServiceReason
      definition:
        v: **Description:** A duplicate non-clinical service or product is being re-billed. *Examples:* * Duplicate transportation required for physician visit * Wrong size of a product * Rebuilding wheel chair ramp due to a weather condition
concept:
  code:
    v: ActCoverageLevelRasonCode
  display:
    v: ActCoverageLevelRasonCode
  definition:
    v: **Description:**Represents the reason for the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ActCoverageReason
  display:
    v: ActCoverageReason
  definition:
    v: **Description:**Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19871
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
  concept:
    code:
      v: ActCoverageProviderReason
    display:
      v: ActCoverageProviderReason
    definition:
      v: **Description:**Identifies the reason or rationale for coverage of a service or product based on characteristics of the provider, e.g., contractual relationship to payor, such as in or out-of-network; relationship of the covered party to the provider. **Example:**In closed managed care plan, a covered party is assigned a primary care provider who provides primary care services and authorizes referrals and ancillary and non-primary care services.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: ActCoverageServiceReason
    display:
      v: ActCoverageServiceReason
    definition:
      v: **Description:**Identifies the reason or rationale for coverage of a service or product based on clinical efficacy criteria or practices prescribed by the payor.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: CoverageExclusionReason
    display:
      v: CoverageExclusionReason
    definition:
      v: **Description:**Identifies the reason or rationale for coverage of a service or product based on coverage exclusions related the risk of adverse selection by covered parties.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: CoverageFinancialParticipationReason
    display:
      v: CoverageFinancialParticipationReason
    definition:
      v: **Description:**Identifies the reason or rationale for coverage of a service or product based on financial participation responsibilities of the covered party.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: CoverageLimitationReason
    display:
      v: CoverageLimitationReason
    definition:
      v: **Description:**Identifies the reason or rationale for limitations on the coverage of a service or product based on coverage contract provisions. **Example:**The maximum cost per unit; or the maximum number of units per period, which is typically the policy or program effective time.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: EligibilityActReasonCode

v: source

v: v3

v: source

v: v3

v: EligibilityActReasonCode

v: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. *Examples:* A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.

code:
  v: source
value:
  v: v3

code:
  v: contextBindingC1-valueSet
value:
  v: 2.16.840.1.113883.1.11.19694

code:
  v: contextBindingC1-strength
value:
  v: CWE

code:
  v: contextBindingC1-effectiveDate
value:
  v: 2020-01-01

code:
  v: CoverageEligibilityReason
display:
  v: CoverageEligibilityReason
definition:
  v: Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. *Examples:* A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19735
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActEncounterReason
display:
  v: ActEncounterReason
definition:
  v: **Description:** Administration reasons for patient encounters.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19456
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActImmunizationReason
display:
  v: ActImmunizationReason
definition:
  v: Reasons why an immunization was administered.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ActInformationManagementReason
display:
  v: ActInformationManagementReason
definition:
  v: **Description:** The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy.
property:
  code:
    v: source
  value:
    v: v3
concept:
  code:
    v: ActHealthInformationManagementReason
  display:
    v: ActHealthInformationManagementReason
  definition:
    v: **Description:** The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20447
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
  concept:
    code:
      v: ActConsentInformationAccessOverrideReason
    display:
      v: ActConsentInformationAccessOverrideReason
    definition:
      v: To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety. *Usage Notes:* Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.
    property:
      code:
        v: HL7usageNotes
      value:
        v: Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingC1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.19894
    property:
      code:
        v: contextBindingC1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingC1-effectiveDate
      value:
        v: 2020-01-01
  concept:
    code:
      v: ActHealthInformationPrivacyReason
    display:
      v: ActHealthInformationPrivacyReason
    definition:
      v: **Description:** The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.
    property:
      code:
        v: source
      value:
        v: v3
  concept:
    code:
      v: ActHealthInformationPurposeOfUseReason
    display:
      v: ActHealthInformationPurposeOfUseReason
    definition:
      v: Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives. *Usage Notes:* The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.
    property:
      code:
        v: HL7usageNotes
      value:
        v: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingR1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.20449
    property:
      code:
        v: contextBindingR1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingR1-effectiveDate
      value:
        v: 2020-01-01
concept:
  code:
    v: ActInformationAccessOverrideReason
  display:
    v: ActInformationAccessOverrideReason
  definition:
    v: **Description:** Use to convey the reason that a provider may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: ActInformationPrivacyReason
display:
  v: ActInformationPrivacyReason
definition:
  v: **Description:** The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ActNoImmunizationReason
display:
  v: ActNoImmunizationReason
definition:
  v: Reasons why a patient did not receive an immunization.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19717
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActPaymentReason
display:
  v: ActPaymentReason
definition:
  v: \*\*\*\* MISSING DEFINITIONS \*\*\*\*
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ActPreferenceReason
display:
  v: ActPreferenceReason
definition:
  v: Reasons why a preference has been specified. **Examples:** * Side Effects * Religious * Request
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ActRPSRelatedApplicationReason
display:
  v: ActRPSRelatedApplicationReason
definition:
  v: Identifies the reason for citing a related application. **Examples:** * Data protection period expiry reference * Bioequivalence reference * Drug Master File reference *Usage Note:* This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ActSupplyFulfillmentRefusalReason
display:
  v: ActSupplyFulfillmentRefusalReason
definition:
  v: Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. "Suspect fraud", "Possible abuse", "Contraindicated". (used when capturing 'refusal to fill' annotations)
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19718
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ClinicalResearchReason
display:
  v: ClinicalResearchReason
definition:
  v: **Definition:**Contains domains for act reasons used in clinical research.
property:
  code:
    v: source
  value:
    v: v3
concept:
  code:
    v: ClinicalResearchEventReason
  display:
    v: ClinicalResearchEventReason
  definition:
    v: **Definition:**Specifies the reason that an event occurred in a clinical research study.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ClinicalResearchObservationReason
  display:
    v: ClinicalResearchObservationReason
  definition:
    v: **Definition:**SSpecifies the reason that a test was performed or observation collected in a clinical research study. **Note:**This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications.
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: ControlActReason
display:
  v: ControlActReason
definition:
  v: **Description:** Indicates the motivation, cause or rationale of an Act which results in a trigger event.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19692
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: CombinedPharmacyOrderSuspendReasonCode
  display:
    v: CombinedPharmacyOrderSuspendReasonCode
  definition:
    v: **Description:**Indicates why the prescription should be suspended.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19779
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ConrolActNullificationReasonCode
  display:
    v: ConrolActNullificationReasonCode
  definition:
    v: **Description:**Identifies reasons for nullifying (retracting) a particular control act. **Examples:**"Entered in error", "altered decision", etc.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: ControlActNullificationReasonCode
  display:
    v: ControlActNullificationReasonCode
  definition:
    v: **Description:**Identifies reasons for nullifying (retracting) a particular control act. **Examples:**"Entered in error", "altered decision", etc.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19826
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ControlActNullificationRefusalReasonType
  display:
    v: ControlActNullificationRefusalReasonType
  definition:
    v: **Description:** Indicates why a specific transaction which was requested to be undone; was not undone.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.20421
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ControlActReasonConditionNullify
  display:
    v: ControlActReasonConditionNullify
  definition:
    v: Indicates why the ConditionaTMs status was changed to Nullified. *Examples* administrative error, diagnostic error.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: GenericUpdateReasonCode
  display:
    v: GenericUpdateReasonCode
  definition:
    v: **Description:**Identifies why a change is being made to a record.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingR1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19777
  property:
    code:
      v: contextBindingR1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingR1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: MedicationOrderAbortReasonCode
  display:
    v: MedicationOrderAbortReasonCode
  definition:
    v: **Description:**Indicates the reason the medication order should be aborted.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19781
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CWE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: MedicationOrderReleaseReasonCode
  display:
    v: MedicationOrderReleaseReasonCode
  definition:
    v: **Definition:**A collection of concepts that indicate why the prescription should be released from suspended state.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19782

code:
  v: contextBindingC1-strength
value:
  v: CWE

code:
  v: contextBindingC1-effectiveDate
value:
  v: 2020-01-01

code:
  v: ModifyPrescriptionReasonType
display:
  v: ModifyPrescriptionReasonType
definition:
  v: Types of reason why a prescription is revised.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingX1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20508
property:
  code:
    v: contextBindingX1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingX1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: PatientProfileQueryReasonCode
display:
  v: PatientProfileQueryReasonCode
definition:
  v: **Definition:**A collection of concepts identifying why the patient's profile is being queried.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19784
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: PharmacySupplyEventAbortReasonType
display:
  v: PharmacySupplyEventAbortReasonType
definition:
  v: **Definition:**Identifies why the dispense event was not completed
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20342
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: PharmacySupplyEventStockReasonCode
display:
  v: PharmacySupplyEventStockReasonCode
definition:
  v: **Definition:**A collection of concepts that indicates the reason for a "bulk supply" of medication.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19785
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: PharmacySupplyRequestFulfillerRevisionRefusalReasonCode
display:
  v: PharmacySupplyRequestFulfillerRevisionRefusalReasonCode
definition:
  v: **Definition:**Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: PharmacySupplyRequestRenewalRefusalReasonCode
display:
  v: PharmacySupplyRequestRenewalRefusalReasonCode
definition:
  v: Identifies the reason why a request for a prescription renewal has been refused.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19786
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: StatusRevisionRefusalReasonType
display:
  v: StatusRevisionRefusalReasonType
definition:
  v: Indicates why the act revision (status update) is being refused.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20363
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: SubstanceAdministrationPermissionRefusalReasonCode
display:
  v: SubstanceAdministrationPermissionRefusalReasonCode
definition:
  v: **Definition:**Indicates why the requested authorization to prescribe or dispense a medication has been refused.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20343
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: SupplyOrderAbortReasonCode
display:
  v: SupplyOrderAbortReasonCode
definition:
  v: Indicates why the prescription should no longer be allowed to be dispensed (but can still administer what already has been dispensed). *UsageNote:* This is typically used in the scenario where the prescription allows for repeats or refills.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19787
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: NonPerformanceReasonCode
display:
  v: NonPerformanceReasonCode
definition:
  v: The reason the action was not performed, e.g. why the medication was not taken. If an action was not performed, it is often clinically important to know why the action was not taken. *Examples:*Patient refused, clinically inappropriate, absolute contraindication etc.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ReasonForNotEvaluatingDevice
display:
  v: ReasonForNotEvaluatingDevice
definition:
  v: Code assigned to indicate the rationale for not performing an evaluation investigation on a device for which a defect has been reported. Examples include: device received in a condition that made analysis impossible, device evaluation anticipated but not yet begun, device not made by company.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: ReferralReasonCode
display:
  v: ReferralReasonCode
definition:
  v: The reason a referral was made. *Examples:*Specialized Medical Assistance, Other Care Requirements.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: RefusalReasonCode
display:
  v: RefusalReasonCode
definition:
  v: **Description:** Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20345
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: SafetyInvestigationReportReasonType
display:
  v: SafetyInvestigationReportReasonType
definition:
  v: **Description:** Possible reasons generating a report providing information developed during the investigation of an adverse event or a product problem. **Examples:** * Correction * Additional information/Follow-up * Response to regulatory agency request
property:
  code:
    v: source
  value:
    v: v3

code:
  v: SubstanceAdminSubstitutionNotAllowedReason
display:
  v: SubstanceAdminSubstitutionNotAllowedReason
definition:
  v: Reasons why substitution of a substance administration request is not permitted.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingC1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19719
property:
  code:
    v: contextBindingC1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingC1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: SubstanceAdminSubstitutionReason
display:
  v: SubstanceAdminSubstitutionReason
definition:
  v: Indicates the reason for substitution when substitution occurs, or reason for non-substitution when substitution is expected.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19377
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: SubstanceAdministrationNoSubstitutionReason
  display:
    v: SubstanceAdministrationNoSubstitutionReason
  definition:
    v: Indicates the reason for non-substitution when substitution was expected. **Examples:** * prescriber request * patient request * continuing therapy (where this latter means that the prescribed item was not substituted, even though "policy" implied it should be, so as not to change from the item that the patient had previously received)
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: SubstanceAdministrationPerformedSubstitutionReason
  display:
    v: SubstanceAdministrationPerformedSubstitutionReason
  definition:
    v: Indicates the reason for substitution when substitution has occurred. **Examples:** * formulary policy * regulatory requirement * out of stock (where this latter means that the prescribed item was out of stock and an equivalent product was substituted)
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: UpdateRefusalReasonCode
display:
  v: UpdateRefusalReasonCode
definition:
  v: **Description:** Identifies why a request to update to a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.20346
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActRelationshipCheckpoint
display:
  v: ActRelationshipCheckpoint
definition:
  v: A code specifying when in the course of an Act a precondition for the Act is evaluated (e.g., before the Act starts for the first time, before every repetition, after each repetition but not before the first, or throughout the entire time of the Act.) *Discussion:* This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Before each step is executed and has preconditions these conditions are tested and if the test is positive, the Act has clearance for execution. The repeatNumber may indicate that an Act may be repeatedly executed. The checkpointCode is specifies when the precondition is checked and is analogous to the various conditional statements and loop constructs in programming languages "while-do" vs. "do-while" or "repeat-until" vs. "loop-exit". For all checkpointCodes, except "end", preconditions are being checked at the time when the preceding step of the plan has terminated and this step would be next in the sequence established by the sequenceNumber attribute. When the checkpointCode for a criterion of a repeatable Act is "end", the criterion is tested only at the end of each repetition of that Act. When the condition holds true, the next repetition is ready for execution. When the checkpointCode is "entry" the criterion is checked at the beginning of each repetition (if any) whereas "beginning" means the criterion is checked only once before the repetition "loop" starts. The checkpointCode "through" is special in that it requires the condition to hold throughout the execution of the Act, even throughout a single execution. As soon as the condition turns false, the Act should receive an interrupt event (see interruptibleInd) and will eventually terminate. The checkpointCode "exit" is only used on a special plan step that represents a loop exit step. This allows an action plan to exit du…
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.10349
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActRelationshipJoin
display:
  v: ActRelationshipJoin
definition:
  v: A code specifying how concurrent Acts are resynchronized in a parallel branch construct. *Discussion:* This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Branches exist when multiple components have the same sequenceNumber. Branches are parallel if the splitCode specifies that more than one branch can be executed at the same time. The joinCode then specifies if and how the braches are resynchronized. The principal re-synchronization actions are (1) the control flow waits for a branch to terminate (wait-branch), (2) the branch that is not yet terminated is aborted (kill-branch), (3) the branch is not re-synchronized at all and continues in parallel (detached branch). A kill branch is only executed if there is at least one active wait (or exclusive wait) branch. If there is no other wait branch active, a kill branch is not started at all (rather than being aborted shortly after it is started.) Since a detached branch is unrelated to all other branches, active detached branches do not protect a kill-branch from being aborted.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.10360
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActRelationshipSplit
display:
  v: ActRelationshipSplit
definition:
  v: A code specifying how branches in an action plan are selected among other branches. *Discussion:* This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Branches exist when multiple components have the same sequenceNumber. The splitCode specifies whether a branch is executed exclusively (case-switch) or inclusively, i.e., in parallel with other branches. In addition to exlusive and inclusive split the splitCode specifies how the pre-condition (also known as "guard conditions" on the branch) are evaluated. A guard condition may be evaluated once when the branching step is entered and if the conditions do not hold at that time, the branch is abandoned. Conversely execution of a branch may wait until the guard condition turns true. In exclusive wait branches, the first branch whose guard conditions turn true will be executed and all other branches abandoned. In inclusive wait branches some branches may already be executed while other branches still wait for their guard conditions to turn true.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.10355
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActRelationshipSubset
display:
  v: ActRelationshipSubset
definition:
  v: Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets. Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.19613
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ParticipationSubset
  display:
    v: ParticipationSubset
  definition:
    v: Used to indicate that the participation is a filtered subset of the total participations of the same type owned by the Act. Used when there is a need to limit the participations to the first, the last, the next or some other filtered subset.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingUV-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19736
  property:
    code:
      v: contextBindingUV-strength
    value:
      v: CNE
  property:
    code:
      v: contextBindingUV-effectiveDate
    value:
      v: 2020-01-01

code:
  v: ActRelationshipType
display:
  v: ActRelationshipType
definition:
  v: A code specifying the meaning and purpose of every ActRelationship instance. Each of its values implies specific constraints to what kinds of Act objects can be related and in which way. *Discussion:* The types of act relationships fall under one of 5 categories: 1.) (De)-composition, with composite (source) and component (target) 2.) Sequel which includes follow-up, fulfillment, instantiation, replacement, transformation, etc. that all have in common that source and target are Acts of essentially the same kind but with variances in mood and other attributes, and where the target exists before the source and the source refers to the target that it links back to. 3.) Pre-condition, trigger, reason, contraindication, with the conditioned Act at the source and the condition or reason at the target. 4.) Post-condition, outcome, goal and risk, with the Act at the source having the outcome or goal at the target. 5.) A host of functional relationships including support, cause, derivation, etc. generalized under the notion of "pertinence".
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.10317
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: ActRelationshipEntry
  display:
    v: ActRelationshipEntry
  definition:
    v: Used to enumerate the relationships between a CDA section and its contained entries.
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19446
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CNE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActRelationshipEntryRelationship
  display:
    v: ActRelationshipEntryRelationship
  definition:
    v: Description still needed
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingC1-valueSet
    value:
      v: 2.16.840.1.113883.1.11.19447
  property:
    code:
      v: contextBindingC1-strength
    value:
      v: CNE
  property:
    code:
      v: contextBindingC1-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: ActRelationshipRelatedOrder
  display:
    v: ActRelationshipRelatedOrder
  definition:
    v: Description still needed
  property:
    code:
      v: source
    value:
      v: v3

code:
  v: ActSite
display:
  v: ActSite
definition:
  v: An anatomical location on an organism which can be the focus of an act.
property:
  code:
    v: source
  value:
    v: v3
concept:
  code:
    v: ActBloodDonationSite
  display:
    v: ActBloodDonationSite
  definition:
    v: **Description:** Sites used for blood donation. **Examples:** * arm * leg * heel
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: AnimalActSite
  display:
    v: AnimalActSite
  definition:
    v: An anatomical location on a non-human animal which can be the focus of an act.
  property:
    code:
      v: source
    value:
      v: v3
concept:
  code:
    v: HumanActSite
  display:
    v: HumanActSite
  definition:
    v: An anatomical location on a human which can be the focus of an act.
  property:
    code:
      v: source
    value:
      v: v3
  concept:
    code:
      v: HumanSubstanceAdministrationSite
    display:
      v: HumanSubstanceAdministrationSite
    definition:
      v: **Description:** The set of body locations to or through which a substance or product may be administered. **Examples:** * buttock * left upper arm * bilateral eyes
    property:
      code:
        v: source
      value:
        v: v3
    property:
      code:
        v: contextBindingC1-valueSet
      value:
        v: 2.16.840.1.113883.1.11.19724
    property:
      code:
        v: contextBindingC1-strength
      value:
        v: CWE
    property:
      code:
        v: contextBindingC1-effectiveDate
      value:
        v: 2020-01-01
  concept:
    code:
      v: InjuryActSite
    display:
      v: InjuryActSite
    definition:
      v: An anatomical location on a human of an injury or disease which is the focus of an act.
    property:
      code:
        v: source
      value:
        v: v3

code:
  v: ActStatus
display:
  v: ActStatus
definition:
  v: Concepts representing the states in the state-machine of the RIM Act class.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.15933
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01

code:
  v: ActUncertainty
display:
  v: ActUncertainty
definition:
  v: A code indicating whether the Act statement as a whole, with its subordinate components has been asserted to be uncertain in any way. *Examples:* Patient might have had a cholecystectomy procedure in the past (but isn't sure). *Constraints:* Uncertainty asserted using this attribute applies to the combined meaning of the Act statement established by all descriptive attributes (e.g., Act.code, Act.effectiveTime, Observation.value, SubstanceAdministration.doseQuantity, etc.), and the meanings of any components. *Discussion:*This is not intended for use to replace or compete with uncertainty associated with a Observation.values alone or other individual attributes of the class. Such pointed indications of uncertainty should be specified by applying the PPD, UVP or UVN data type extensions to the specific attribute. Particularly if the uncertainty is uncertainty of a quantitative measurement value, this must still be represented by a PPD<PQ> in the value and NOT using the uncertaintyCode. Also, when differential diagnoses are enumerated or weighed for probability, the UVP<CD> or UVN<CD> must be used, not the uncertaintyCode. The use of the uncertaintyCode is appropriate only if the entirety of the Act and its dependent Acts is questioned. Note that very vague uncertainty may be thought related to negationInd, however, the two concepts are really independent. One may be very uncertain about an event, but that does not mean that one is certain about the negation of the event.
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.16899
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: AddressPartType
display:
  v: AddressPartType
definition:
  v: Discussion: The hierarchical nature of these concepts shows composition. E.g. "Street Name" is part of "Street Address Line"
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.10642
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01

code:
  v: AdministrativeGender
display:
  v: AdministrativeGender
definition:
  v: The gender of a person used for adminstrative purposes (as opposed to clinical gender)
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingR1-valueSet
  value:
    v: 2.16.840.1.113883.1.11.1
property:
  code:
    v: contextBindingR1-strength
  value:
    v: CWE
property:
  code:
    v: contextBindingR1-effectiveDate
  value:
    v: 2020-01-01

code:
  v: AttentionKeyword
display:
  v: AttentionKeyword
definition:
  v: Provides coded key words for attribute AttentionLine.keyWordText, which has data type SC.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: AttentionLineValue
display:
  v: AttentionLineValue
definition:
  v: **Definition:**The domain of possible values used as the value of attention line specifications in AttentionLine directives.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: BatchName
display:
  v: BatchName
definition:
  v: Provides coded names for attribute Batch.name, which has data type SC.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: Calendar
display:
  v: Calendar
definition:
  v: \*\*\*\* MISSING DEFINITIONS \*\*\*\*
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.17422
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01

code:
  v: CalendarCycle
display:
  v: CalendarCycle
definition:
  v: \*\*\*\* MISSING DEFINITIONS \*\*\*\*
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.10684
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01
concept:
  code:
    v: CalendarCycleOneLetter
  display:
    v: CalendarCycleOneLetter
  definition:
    v: One letter calendar cycle abbreviations (Temporary - remove when RoseTree is fixed)
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingUV-valueSet
    value:
      v: 2.16.840.1.113883.1.11.10701
  property:
    code:
      v: contextBindingUV-strength
    value:
      v: CNE
  property:
    code:
      v: contextBindingUV-effectiveDate
    value:
      v: 2020-01-01
concept:
  code:
    v: CalendarCycleTwoLetter
  display:
    v: CalendarCycleTwoLetter
  definition:
    v: Two letter calendar cycle abbreviations (Temporary - remove when RoseTree is fixed)
  property:
    code:
      v: source
    value:
      v: v3
  property:
    code:
      v: contextBindingUV-valueSet
    value:
      v: 2.16.840.1.113883.1.11.10685
  property:
    code:
      v: contextBindingUV-strength
    value:
      v: CNE
  property:
    code:
      v: contextBindingUV-effectiveDate
    value:
      v: 2020-01-01

code:
  v: CalendarType
display:
  v: CalendarType
definition:
  v: \*\*\*\* MISSING DEFINITIONS \*\*\*\*
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.10682
property:
  code:
    v: contextBindingUV-strength
  value:
    v: CNE
property:
  code:
    v: contextBindingUV-effectiveDate
  value:
    v: 2020-01-01

code:
  v: CaseDetectionMethod
display:
  v: CaseDetectionMethod
definition:
  v: Code for the method by which the public health department was made aware of the case. Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc.
property:
  code:
    v: source
  value:
    v: v3

code:
  v: Charset
display:
  v: Charset
definition:
  v: Internet Assigned Numbers Authority (IANA) Charset Types
property:
  code:
    v: source
  value:
    v: v3
property:
  code:
    v: contextBindingUV-valueSet
  value:
    v: 2.16.840.1.113883.1.11.14853
property:
  code:
    v: contextBindingUV-strength