code: AR

display: adjudicated as refused

definition:
The invoice element has passed through the adjudication process but payment is refused due to one or more reasons.

                        Includes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late').

                        If one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected.

                        A refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer.

                        Invoice element cannot be reversed (nullified) as there is nothing to reverse.

                        Recommend that the invoice element is not saved for DUR (Drug Utilization Reporting).


definition: Authorization Issue Management Code

resourceType: Concept

display: Authorization Issue Management Code


code: FAST

display: fasting

definition: No enteral intake of foot or liquids  whatsoever, no smoking.  Typically 6 to 8 hours before anesthesia.


display: representative half-life

definition: Description:This observation represents an 'average' or 'expected' half-life typical of the product.


code: HISTMEDLIST

display: medication history

definition: Historical list of medications.


code: C

display: corrected

definition: Description:Indicates that result data has been corrected.


code: OBSENC

display: observation encounter

definition: An encounter where the patient usually will start in different encounter, such as one in the emergency department (EMER) but then transition to this type of encounter because they require a significant period of treatment and monitoring to determine whether or not their condition warrants an inpatient admission or discharge. In the majority of cases the decision about admission or discharge will occur within a time period determined by local, regional or national regulation, often between 24 and 48 hours.


code: AALC

display: accredited assisted living care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.


definition: Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.

display: ActInvoiceAdjudicationPaymentGroupCode


code: HIPAASelfPay

display: HIPAA self-pay

definition:
Section 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures regarding certain health care items or services for which the individual pays out of pocket in full restricted from a health plan.

                           Definition: Non-disclosure of health information to a health plan relating to health care items or services for which an individual pays out of pocket in full.

                           Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.


code: RAR

display: Related Prior Reaction Alert

definition: Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.


code: MSRPOPL

display: measure population

definition:
Criteria for specifying
the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period).  This is used only in continuous variable eMeasures.


code: STRAN

display: specimen in transit

definition: Description:Specimen has been put in transit to a participating receiver.


code: CPNDSUPING

display: compound supply invoice group

definition: A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup.


code: CROC

display: certified radiation oncology care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


display: Leave of Absence

definition: Supply is intended for use during a leave of absence from an institution.


code: CACS

display: certified acute coronary syndrome care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.


code: CBAR

display: certified bariatric surgery care


code: POINT

display: point

definition: A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.


code: PINV

display: paper invoice

definition: Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.


code: SUBSTNCE

display: Common Substance Interaction

definition: Description: An interaction where the exposure participants shared or co-used a common substance (e.g. drugs, needles, or common food item).


code: ADNPSPMNAT

display: adjud. non-payee payable same-period manual amount

definition: Identifies the total net amount of all  Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.


code: CPYC

display: certified psychiatry care


code: PROBLISTE

display: problem list entry task

definition: A clinician enters a problem for a given patient.

hierarchy: _ActTaskCode PATDOC CLINNOTEE


code: MDOSE

display: maximum dosage reached

definition: Description:The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.


code: BR

display: breikost (GE)

definition: A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.


code: REF

display: reference

definition: Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.


code: FRAMEING

display: frame invoice group

definition: A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.


code: ANNIMM

display: immunization note

definition: A note that is specific to a patient's immunizations, either historical, current or planned.


code: F

display: final

definition: Description:Indicates that a result is complete.  No further results are to come.  This maps to the 'complete' state in the observation result status code.


code: RAT

display: rationale

definition: Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence.


definition: Total counts and total net amounts adjudicated for all  Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.

display: InvoiceElementAdjudicated


code: ANONY

display: anonymize

definition: Custodian system must remove any information that could result in identifying the information subject.


code: IMMLE

display: immunization list entry

definition: Description: A person enters an immunization due or received for a given patient.


display: age patient qn calc

definition: Definition:Calculated age.


code: TIME

display: timing detected issue

definition: Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.


code: SPLSIZE

display: size

definition:
Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter.

                           Example: SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter.


code: ADPPSPELCT

display: adjud. payee payable same-period electronic count

definition: Identifies the total number of all  Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.


code: ELLIPSE

display: ellipse

definition: An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis.


code: INTFR

display: ActSpecObsInterferenceCode

definition: An observation that relates to factors that may potentially cause interference with the observation


display: Temporarily Suspended Concurrent Therapy

definition: Suspended existing therapy that triggered interaction for the duration of this therapy


code: PROBLIST

display: problem list

definition: List of problem observations.


code: GUIDE

display: guidance

definition: Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.


code: CPHC

display: certified public health and general preventive medicine care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


code: WATTRNS

display: water-borne transmission

definition: Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice.


code: TRSTACCRDOBS

display: trust accreditation observation

definition: 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.

hierarchy: SECOBS SECTRSTOBS


code: CBGC

display: certified clinical biochemical genetics care


code: WELLREMLE

display: wellness reminder list entry

definition: Description: A person enters a wellness or preventive care reminder for a given patient.

hierarchy: _ActTaskCode PATINFO REMLE


code: NOTEQUIV

display: not equivalent alert

definition: Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.


code: COGC

display: certified obstetrics and gynecology care


code: ID

display: Identified

definition: Used by one system to inform another that it has received a container.


display: Stopped Concurrent Therapy

definition: Aborted existing therapy that triggered interaction.


definition: Codes representing a 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, etc.

child: CONT DAY LOC MONTH PERIOD PROV WEEK YEAR


code: DENTPRG

display: dental program

definition: Definition: A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria.


code: CPINV

display: clinical product invoice

definition:
Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).

                        For example, a crutch or a wheelchair.


code: VET

display: veteran health program

definition: Definition: Services provided directly and through contracted and operated veteran health programs.


code: HIPAANOPP

display: HIPAA notice of privacy practices

definition:
The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Subpart E) permits access, use and disclosure of certain personal health information (PHI as defined under the law) for purposes of Treatment, Payment, and Operations, and requires that the provider ask that patients acknowledge the Provider's Notice of Privacy Practices as permitted conduct under the law.

                           Definition: Notification of HIPAA Privacy Practices.

                           Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.


code: FDASCORING

display: scoring

definition: FDA label scoring


definition:
Definition:A collection of concepts that identifies different types of 'duration-based' mediation working lists.

                           Examples:"Continuous/Chronic" "Short-Term" and "As Needed"

display: act medication therapy duration working list


definition:
Definition: A jurisdictional mandate in the U.S. relating to privacy.

                           Usage Note: ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.  May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.


code: ANF

display: adjudicated with adjustments and no financial impact

definition:
The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount.

                        Invoice element can be reversed (nullified).

                        Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).


code: ALLCAT

display: all categories

definition: Description: All patient information.


code: VECTRNS

display: vector-borne transmission

definition: Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.


definition: Hypersensitivity resulting in an adverse reaction upon exposure to food.

child: FALG

code: FINT

display: Food Intolerance


code: LGPC

display: licensed general physician care

definition: Description:Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.


definition: A fill against an order that has already been filled (or partially filled) at least once.

child: DF

code: RF

display: Refill


code: PIE

display: public insurance exhausted

definition: Public Insurance has been exhausted.  Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.


code: FRSTFEE

display: first fee

definition: Anticipated or actual initial fee associated with treating a patient.


code: B

display: business information sensitivity

definition:
Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality.  Description:  Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality.

                           Usage Notes: No patient related information may ever be of this confidentiality level.   If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


code: CC

display: credit card

definition: Description: Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.


code: PUBTRN

display: public transport

definition: public transport


code: OREV

display: orders review task

definition: A person reviews a list of orders submitted to a given patient.


code: SBFINV

display: sessional or block fee invoice

definition: Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.


code: DOSEHINDSA

display: High Dose for Height/Surface Area Alert

definition: Proposed dosage exceeds standard practice for the patient's height or body surface area


code: CONC

display: certified oncology care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.


display: age patient qn definition

definition: Definition:General specification of age with no implied method of determination.


code: ENCRYPTT

display: encrypt in transit

definition: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means.

hierarchy: _ActPolicyType SecurityPolicy ObligationPolicy ENCRYPT


code: PDNPPPELAT

display: paid non-payee payable prior-period electronic amount

definition: Identifies the total net amount of all  Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.


code: CPEC

display: certified pediatrics care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


code: TFS

display: trial fill partial strength

definition: A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).


code: PDPPPPMNCT

display: paid payee payable prior-period manual count

definition: Identifies the total number of all  Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.


code: CCAD

display: certified coronary artery disease care


display: ActPolicyType

definition: Description:Types of policies that further specify the ActClassPolicy value set.


code: SSP

display: sensitive service provider information sensitivity

definition:
Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality.  Description:  Policies may govern sensitivity of information related to providers who deliver sensitive healthcare services in order to protect the privacy, well-being, and safety of the provider and of patients receiving sensitive services.

                           Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


code: PDPPPPELCT

display: paid payee payable prior-period electronic count

definition: Identifies the total number of all  Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.


definition: ActObservationList

display: ActObservationList


code: NORDSCLCD

display: no redisclosure without consent directive

definition: Prohibition on redisclosure without patient consent directive.


code: PPO

display: preferred provider organization policy

definition: Definition: A network-based, managed care plan that allows a covered party to choose any health care provider. However, if care is received from a "preferred" (participating in-network) provider, there are generally higher benefit coverage and lower deductibles.


code: LP

display: low protein

definition: A low protein diet for patients with renal failure.


code: DUPTHPCLS

display: duplicate therapeutic alass alert

definition: Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.


code: AAMC

display: accredited ambulatory care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.


code: FULFIL

display: fulfillment alert

definition: Definition:The therapy being performed is in some way out of alignment with the requested therapy.


code: MARST

display: marital status information sensitivity

definition:
Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's marital status, the disclosure of which could impact the privacy, well-being, or safety of that subject.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


display: ActProductAcquisitionCode

definition: The method that a product is obtained for use by the subject of the supply act (e.g. patient).  Product examples are consumable or durable goods.


code: MANUAL

display: manual review

definition: Manual review of the invoice is requested.  Additional information to be supplied.  This may be used in the case of an appeal.


definition: An identifying data string for healthcare products.

display: ActInvoiceDetailClinicalProductCode


code: CSIC

display: certified sickle cell care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.


code: CHYP

display: certified hyperlipidemia care


code: NHP

display: Natural Health Product Alert

definition: Proposed therapy may interact with existing or recent natural health product therapy


code: INFEMER

display: only in an emergency

definition: Authorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice. For example, sharing of health information during disaster response.


code: DISCMEDLIST

display: discharge medication list

definition: List of discharge medications.


code: ADALRT

display: adult alert

definition: Proposed therapy is outside of the standard practice for an adult patient.


code: ACH

display: Automated Clearing House

definition: Automated Clearing House (ACH).


code: ADRFPPMNAT

display: adjud. refused prior-period manual amount

definition: Identifies the total net amount of all  Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.


definition:
A jurisdictional mandate, regulation, obligation, requirement, rule, or expectation deeming certain information to be private to an individual or organization, which is imposed on:

                           The activity of a governed party
                           The behavior of a governed party
                           The manner in which an act is executed by a governed party

display: ActPrivacyLaw


code: ANNGEN

display: general note

definition: Description:A general or uncategorized note.


code: SPLSHAPE

display: shape

definition: Description: A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners. SPLSHAPE does not include embossing, scoring, debossing, or internal cut-outs.  SPLSHAPE is independent of the orientation of the imprint and logo. Shapes can include: Triangle (3 sided); Square; Round; Semicircle; Pentagon (5 sided); Diamond; Double circle; Bullet; Hexagon (6 sided); Rectangle; Gear; Capsule; Heptagon (7 sided); Trapezoid; Oval; Clover; Octagon (8 sided); Tear; Freeform.


code: BOOSTER

display: Booster Immunization

definition: An additional immunization administration within a series intended to bolster or enhance immunity.


code: SEX

display: sexuality and reproductive health information sensitivity

definition:
Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality.  Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


code: DISEASE

display: disease specific policy

definition: Definition: A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS.


code: REMLE

display: reminder list entry

definition: Description: A person enters a health care reminder for a given patient.


code: DVD

display: developmental disability information sensitivity

definition:
Policy for handling information related to developmental disability disorders and conditions caused by these disorders, which is afforded heightened confidentiality.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.

                        A diverse group of chronic conditions that are due to mental or physical impairments impacting activities of daily living, self-care, language acuity, learning, mobility, independent living and economic self-sufficiency. Examples may include Down syndrome and  Autism spectrum. However, the developmental disabilities to which this term applies versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions.  Implementers should constrain to those diagnoses applicable in the domain in which this code is used.


code: UDE

display: unit dose equivalent

definition: A supply action that provides sufficient material for a single dose via multiple products.  E.g. 2 50mg tablets for a 100mg unit dose.


code: ALTC

display: accredited long term care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.


definition: Definition: An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.

display: ActBillableServiceCode


code: MSROBS

display: measure observation

definition:
Defines the observation to be performed for each patient or event in the measure population. Measure observations for each case in the population are aggregated to determine the overall measure score for the population.

                           Examples:

                           the median time from arrival in the Emergency Room to departure
                           the median time from decision to admit to a hospital to the actual admission for Emergency Room patients


code: GENE

display: gene

definition: Description: A DNA segment that contributes to phenotype/function. In the absence of demonstrated function a gene may be characterized by sequence, transcription or homology


display: ActClaimAttachmentCategoryCode

definition: Description: Coded types of attachments included to support a healthcare claim.


code: UD

display: Unit Dose

definition: A supply action that provides sufficient material for a single dose.


code: ROIFS

display: fully specified ROI

definition: A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded.  For example a ROI to mark an episode of "ST elevation" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.


code: EDU

display: education fees

definition: Fees deducted on behalf of a payee for tuition and continuing education.


code: RETIRE

display: retiree health program

definition: Definition: A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program.   Benefits typically include ambulatory, inpatient, and long-term care, such as hospice care, home health care and respite care.


code: CMSC

display: certified multiple sclerosis care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.


code: CPST

display: certified primary stroke center care


code: OE

display: order entry task

definition: A clinician creates a request for a service to be performed for a given patient.


code: SBPDELCT

display: submitted pending electronic count

definition: Identifies the total number of submitted  Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically.  Adjudicated invoice elements are not included.


display: Prescriber Declined Change

definition: Consulted prescriber and recommended change, prescriber declined


code: MICROORGRREV

display: microbiology organisms results review task

definition: A person reviews organisms of microbiology results of a given patient.

hierarchy: _ActTaskCode PATINFO MICRORREV


code: INFA

display: information access

definition: Definition: Consent to access healthcare information.


code: BONUS

display: bonus

definition: Bonus payments based on performance, volume, etc. as agreed to by the payor.


display: patient adverse event

definition: Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.


code: DIA

display: diagnosis information sensitivity

definition:
Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality.  Diagnostic, health condition or health problem related information may be deemed sensitive by organizational policy, and require heightened confidentiality.

                           Usage Note: For use within an enterprise that provides heightened confidentiality to  diagnostic, health condition or health problem related information deemed sensitive.   If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


code: PDNPPPELCT

display: paid non-payee payable prior-period electronic count

definition: Identifies the total number of all  Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.


definition: 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.


code: CIMC

display: certified internal medicine care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


code: ETH

display: substance abuse information sensitivity

definition:
Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality.  Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


code: ADNFPPMNCT

display: adjud. nullified prior-period manual count

definition: Identifies the total number of all  Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.


code: DM

display: diabetes mellitus diet

definition: A diet that uses carbohydrates sparingly.  Typically with a restriction in daily energy content (e.g. 1600-2000 kcal).


code: GEND

display: Gender Alert

definition: Proposed therapy may be inappropriate or contraindicated due to patient gender.


code: PRENC

display: pre-admission

definition:
A patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number. When the patient comes back for subsequent service, the pre-admission encounter is selected and is encapsulated into the service registration, and a new account number is generated.

                           Usage Note: This is intended to be used in advance of encounter types such as ambulatory, inpatient encounter, virtual, etc.


code: P

display: Private

definition: Accommodations in which there is only 1 bed.


definition: Definition:The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.

display: LOINCObservationActContextAgeType


code: PDPPSPELAT

display: paid payee payable same-period electronic amount

definition: Identifies the total net amount of all  Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.


code: CAIC

display: certified allergy and immunology care


code: ADNPPPMNAT

display: adjud. non-payee payable prior-period manual amount

definition: Identifies the total net amount of all  Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.


code: ISOL

display: isolation allowance

definition: Premium paid on service fees in compensation for practicing in a remote location.


code: SO

display: Script Owing

definition: An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.


code: FILT

display: Filtration

definition: The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).


code: MENTPRG

display: mental health program

definition:
Definition: Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria.  Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process.  Payer responsibilities for administering the program may be delegated to contractors.

                           Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).


code: EFORM

display: electronic form to follow

definition: Electronic form with supporting or additional information to follow.


code: TRSTMECOBS

display: trust mechanism observation

definition: Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.


code: MSRRPTR

display: reporter type

definition: Type of person or organization that is expected to report the issue.


code: DOSEDURH

display: Dose-Duration High Alert

definition: Proposed length of therapy is longer than standard practice


code: WCBPOL

display: worker's compensation

definition: Insurance policy for injuries sustained in the work place or in the course of employment.


code: ADNFPPELCT

display: adjud. nullified prior-period electronic count

definition: Identifies the total number of all  Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.


code: CTBU

display: certified trauma/burn center care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.


code: NOREUSE

display: no reuse beyond purpose of use

definition: Prohibition on use of the information beyond the purpose of use initially authorized.


code: TPROD

display: Therapeutic Product Alert

definition: Proposed therapy may interact with an existing or recent therapeutic product


display: ActControlVariable

definition:
An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure.

                        Control variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).


code: EVNFCTS

display: ActSpecObsEvntfctsCode

definition: Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)


code: MINFREQ

display: too soon within frequency based on the usage

definition: Definition:The therapy action is being performed too soon after the previous occurrence based on the requested frequency


code: HUMHUMTRNS

display: human to human transmission

definition: Communication of an agent from a person to a proximate person.


code: LABEL

display: assign security label

definition:
Custodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding.

                           Usage Note: In security systems, security policy label assignments do not change, they may supersede prior assignments, and such reassignments are always tracked for auditing and other purposes.


code: CLSSRM

display: classroom

definition: Description: The class room associated with the patient during the immunization event.


definition: Indication of eligibility coverage for healthcare service(s) and/or product(s).

display: ActCoverageEligibilityConfirmationCode


code: PATPREFALT

display: violates stated preferences, alternate available

definition: Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.  An alternate therapy meeting those constraints is available.


code: WRKCOMP

display: (workers compensation program

definition: Definition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment.  Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program.  Employees may be required to pay premiums toward the cost of coverage as well.


display: surgical prophylaxis

definition: Description:Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.


code: DISCHSUMREV

display: discharge summary review task

definition: A person reviews a discharge summary of a given patient.

hierarchy: _ActTaskCode PATINFO CLINNOTEREV


code: ADNPSPELCT

display: adjud. non-payee payable same-period electronic count

definition: Identifies the total number of all  Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.


code: RESCOMPT

display: research project compartment

definition: A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project.


code: SUBSIDIZ

display: subsidized health program

definition: Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.


display: ActListCode

definition: Provides codes associated with ActClass value of LIST (working list)


code: CONTF

display: contract funding

definition: A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.


code: ADNPPPMNCT

display: adjud. non-payee payable prior-period manual count

definition: Identifies the total number of all  Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.


display: ActInvoiceElementSummaryCode

definition: Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA).  The summary information is generally used to help resolve balance discrepancies between providers and payors.


code: REPSERV

display: repeated service

definition: The same service was delivered within a time period that would usually indicate a duplicate billing.  However, the repeated service is a medical 	necessity and therefore not a duplicate.


code: MSRTYPE

display: measure type

definition:
Indicates whether the eMeasure is used to examine a process or an outcome over time
(e.g., Structure, Process, Outcome).


code: INTOLIST

display: intolerance list

definition: List of intolerance observations.


code: DIAGLISTREV

display: diagnosis list review task

definition: A person reviews a list of diagnoses of a given patient.


code: MS

display: Manufacturer Sample

definition: A supply of a manufacturer sample


code: NOTACTN

display: no longer actionable

definition: Definition:The status of the request being fulfilled has changed such that it is no longer actionable.  This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled.  (Not used for 'suspended' orders.)


code: ABHC

display: accredited behavioral health care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.


code: DILUTION

display: ActSpecObsDilutionCode

definition: An observation that reports the dilution of a sample.


code: MISSCOND

display: conditional element missing

definition: Description:The specified element must be specified with a non-null value under certain conditions.  In this case, the conditions are true but the element is still missing or null.


code: LDLP

display: LDL Precipitation

definition: LDL Precipitation


code: SEXTRNS

display: sexual transmission

definition: Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.


code: FOODTRNS

display: food-borne transmission

definition: Communication of an agent from a food source to a living subject via oral consumption.


code: DOSEHINDA

display: High Dose for Age Alert

definition: Proposed dosage exceeds standard practice for the patient's age


code: EPYMT

display: early payment fee

definition: Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.


definition: A first fill where the strength supplied is less than the ordered strength. (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).

child: FFPS FFCS TFS

code: FFSS

display: first fill, partial strength


code: COPY

display: copyright

definition: Identifies the organization(s) who own the intellectual property represented by the eMeasure.


code: ADRFSPMNCT

display: adjud. refused same-period manual count

definition: Identifies the total number of all  Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.


code: MEDT

display: measurement end date

definition: The end date of the measurement period.


code: ADNFPPMNAT

display: adjud. nullified prior-period manual amount

definition: Identifies the total net amount of all  Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.


code: MSRADJ

display: risk adjustment

definition: The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.


code: CANC

display: certified anesthesiology care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


code: INT

display: Intolerance Alert

definition: Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product.  (Intolerances are non-immune based sensitivities.)


code: LOCIS

display: location information sensitivity

definition:
Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality.  Description:  Policies may govern sensitivity of information related to the location of the information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject.

                           Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


code: O

display: In Process

definition: Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.


code: SecurityPolicy

display: security policy

definition:
Types of security policies that further specify the ActClassPolicy value set.

                           Examples:

                           obligation to encrypt
                           refrain from redisclosure without consent


code: NOSTRNS

display: nosocomial transmission

definition: Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.


code: CEPI

display: certified epilepsy care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.


code: ACOCOMPT

display: accountable care organization compartment

definition:
A group of health care entities, which may include health care providers, care givers, hospitals, facilities, health plans, and other health care constituents who coordinate care for reimbursement based on quality metrics for improving outcomes and lowering costs, and may be authorized to access the consumer's health information because of membership in that group.

                        Security Compartment Labels assigned to a consumer's information use in accountable care workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a an accountable care workflow who is requesting access to that information


code: CURC

display: certified urology care


code: DENOM

display: denominator

definition: Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).  The denominator can be the same as the initial population, or it may be a subset of the initial population to further constrain it for the purpose of the eMeasure. Different measures within an eMeasure set may have different denominators. Continuous Variable eMeasures do not have a denominator, but instead define a measure population.


code: COVPRD

display: coverage period

definition: Codes representing the time period during which coverage is available; or financial participation requirements are in effect.


definition: 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.

display: ActCoverageQuantityLimitCode


code: CLINNOTEE

display: clinical note entry task

definition: A clinician enters a clinical note about a given patient


code: MARKUP

display: markup or up-charge

definition: An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.


code: OPIOIDUD

display: opioid use disorder information sensitivity

definition:
Policy for handling information related to opioid use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.


definition: 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.

display: ActInvoiceDetailCode


code: DOSE

display: Dosage problem

definition: Proposed dosage instructions for therapy differ from standard practice.


code: DOB

display: date of birth information sensitivity

definition:
Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


code: OOJ

display: out of jurisdiction

definition: The medical service and/or product was provided to a patient that has coverage in another jurisdiction.


code: NOVIP

display: no unauthorized VIP disclosure

definition: Prohibition on disclosure except to principals with access permission to specific VIP information.


display: Unknown key identifier

definition: The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.


code: PATINFO

display: patient information review task

definition: A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.


code: DRUGPRG

display: drug program

definition: Definition: A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.


code: CNSC

display: certified neurological surgery care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


code: RFP

display: Refill - Part Fill

definition: A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)


code: ROIPS

display: partially specified ROI

definition: A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.


display: ActAdjudicationResultActionCode

definition: Actions to be carried out by the recipient of the Adjudication Result information.


code: WELLREMLREV

display: wellness reminder list review

definition: Description: A person reviews a list of wellness or preventive care reminders for a given patient.

hierarchy: _ActTaskCode PATDOC REMLREV


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

display: act credentialed care provision program


code: COPD

display: certified chronic obstructive pulmonary disease care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.


code: CNEC

display: certified neurology care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board


code: INVOICE

display: submitted invoice

definition: Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..


code: SBBLELCT

display: submitted billed electronic count

definition: Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically.  Adjudicated invoice elements are included.


code: KSUBT

display: knowledge subtopic

definition: Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.


code: RERUN

display: Rerun Dilution

definition: The value of the dilution of a sample after it had been analyzed at a prior dilution value


code: MSD

display: measurement start date

definition: The start date of the measurement period.


code: DENTAL

display: dental care policy

definition: Definition: A health insurance policy that that covers benefits for dental services.


code: CAPC

display: certified anatomic pathology care


code: ADNFSPMNCT

display: adjud. nullified same-period manual count

definition: Identifies the total number of all  Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.


code: FINALDT

display: finalized date/time

definition: The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.


code: NOI

display: nature of injury

definition: The type of injury that the injury coding specifies.


code: AUTO-LOW

display: Auto-Low Dilution

definition: The dilution of a sample performed by automated equipment.  The value is specified by the equipment


code: PREFSTRENGTH

display: preference strength

definition: An observation about how important a preference is to the target of the preference.


code: AS

display: adjudicated as submitted

definition:
The invoice element was/will be paid exactly as submitted, without financial adjustment(s).

                        If the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as "Adjudicated with Adjustment".

                        If information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim').

                        Invoice element can be reversed (nullified).

                        Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).


code: AA

display: adjudicated with adjustments

definition:
The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).

                        Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.

                        Invoice element can be reversed (nullified).

                        Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).


code: PAPER

display: paper documentation to follow

definition: Paper documentation (or other physical format) with supporting or additional information to follow.


display: pregnancy prophylaxis

definition: Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.


code: ALG

display: Allergy

definition: Hypersensitivity to an agent caused by an immunologic response to an initial exposure


code: OOO

display: out of office

definition: Premium paid on service fees in compensation for practicing at a location other than normal working location.


code: KEY

display: keyword

definition: A significant word that aids in discoverability.


definition: Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.

child: EALG

code: EINT

display: Environmental Intolerance


code: LFEMX

display: life time maximum

definition: Definition: Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.


code: CONVEYNC

display: Common Conveyance Interaction

definition: Description: An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g. both are passengers of the same plane, but on different flights of that plane).


display: Therapy Appropriate

definition: Confirmed drug therapy appropriate


code: LIPEMIA

display: Lipemia

definition: An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units).


code: ACAC

display: accredited critical access hospital care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.


code: CommonRule

display: Common Rule

definition:
U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46) that has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements.

                           Definition: U.S. federal laws governing research-related privacy policies.

                           Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.


code: ACPSERV

display: professional service access

definition: Description: Provide consent to collect, use, disclose, or access professional service information for a patient.


code: PDNPSPMNCT

display: paid non-payee payable same-period manual count

definition: Identifies the total number of all  Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.


code: ACLAB

display: lab test result access

definition: Description: Provide consent to collect, use, disclose, or access lab test result information for a patient.


code: UNSPSC

definition: Description:United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org


code: UFIL

display: Ultrafiltration

definition: The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.


code: EMP

display: employee information sensitivity

definition:
Policy for handling information related to an employee, which will be afforded heightened confidentiality. When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality.  Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.

                           Usage Note: Policy for handling information related to an employee, which will be afforded heightened confidentiality.  Description:  When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality.  Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.


code: RADREPREV

display: radiology report review task

definition: A person reviews a radiology report of a given patient.


display: relative time sequence

definition: A sequence of values in a "relative" time domain.  The time is measured relative to the earliest effective time in the Observation Series containing this sequence.


code: HUAPRV

display: human approval

definition: Custodian system must require human review and approval for permission requested.


code: CSPT

display: certified spine treatment care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.


code: CDRC

display: certified diagnostic radiology care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


definition: Codes used to identify different types of 'duration-based' working lists.  Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".

display: ActTherapyDurationWorkingListCode


code: SENDAPP

display: sending application

definition: Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers.


code: PERMBNS

display: performance bonus

definition: The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.


code: HSAPOL

display: health spending account

definition: Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the 	discretion of the covered party.


code: IPOP

display: initial population

definition: Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).


code: INFCRT

display: only on court order

definition: Authorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order.


code: ACMEDC

display: medical condition access

definition: Definition: Provide consent to view or access medical condition information for a patient.


code: AOD

display: accounting of disclosure

definition: Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individualâ€™s protected health information over a period of time.  Policy may dictate that the accounting include information about the information disclosed,  the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested.


code: FFCS

display: first fill complete, partial strength

definition: A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).


code: ICOL

display: information collection

definition: Definition: Consent to have healthcare information collected in an electronic health record.  This entails that the information may be used in analysis, modified, updated.


code: OPTIN

display: opt-in

definition:
A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.

                           Comment: Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.

                           Usage Note: Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered "basic consent".

                           Examples:

                           Healthcare: A patient [grantor] signs a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies.
                           Non-healthcare: An employee [grantor] signs an employer's [grantee's] non-disclosure and non-compete agreement.


code: PLACE

display: Common Space Interaction

definition: Description: An interaction where the exposure participants were both present in the same location/place/space.


code: ENCRYPTU

display: encrypt in use

definition: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user.


code: SCH

display: schonkost (GE)

definition: A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).


code: DOSEDURL

display: Dose-Duration Low Alert

definition: Proposed length of therapy is shorter than that necessary for therapeutic effect


code: INTIMATE

display: Intimate Interaction

definition: Description: Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners).


code: X

display: Container Unavailable

definition: Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).


display: age patient qn est

definition: Definition:Estimated age.


code: URGENT

display: urgent

definition: Premium paid on service fees in compensation for providing an expedited response to an urgent situation.


code: CCGC

display: certified clinical genetics (M.D.) care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


code: CFWD

display: carry forward adjusment

definition: An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.


code: MSRJUR

display: jurisdiction

definition: The list of jurisdiction(s) for which the measure applies.


code: FS

display: Floor stock

definition: A supply action to restock a smaller more local dispensary.


display: ActCoverageConfirmationCode

definition: Response to an insurance coverage eligibility query or authorization request.


code: FALG

display: Food Allergy

definition: An allergy to a substance generally consumed for nutritional purposes.

hierarchy: _ObservationType OINT ALG


code: N

display: normal diet

definition: A normal diet, i.e. no special preparations or restrictions for medical reasons. This is notwithstanding any preferences the patient might have regarding special foods, such as vegetarian, kosher, etc.


definition: Codes representing a 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.

display: ActInvoiceAdjudicationPaymentCode


code: OPTOUT

display: op-out

definition:
A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.

                           Comment: Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.

                           Usage Note: Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered "basic consent".

                           Examples:

                           Healthcare: A patient [grantor] declines to sign a provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting.
                           Non-healthcare: An employee [grantor] refuses to sign an employer's [grantee's] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights.
                           A citizen [grantor] refuses to enroll in mandatory government [grantee] health insurance based on religious beliefs, which is an exemption.


code: PBILLACCT

display: patient billing account

definition: An account representing charges and credits (financial transactions) for a patient's encounter.


code: CARD

display: Cardiology

definition: Provision of diagnosis and treatment of diseases and disorders affecting the heart


code: PED

display: Pediatrics

definition: Provision of diagnosis and treatment of diseases and disorders affecting children.


code: ANNU

display: annuity policy

definition:
Definition: A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals.

                        For example, a policy holder may pay $10,000, and in return receive $150 each month until he dies; or $1,000 for each of 14 years or death benefits if he dies before the full term of the annuity has elapsed.


code: PDNFSPELCT

display: paid nullified same-period electronic count

definition: Identifies the total number of all  Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.


code: SURPL

display: surplus line insurance policy

definition:
Definition:

                              A risk or part of a risk for which there is no normal insurance market available.

                              Insurance written by unauthorized insurance companies. Surplus lines insurance is insurance placed with unauthorized insurance companies through licensed surplus lines agents or brokers.


code: ALLDONE

display: already performed

definition: Definition:The requested action has already been performed and so this request has no effect


code: RHYTHM

display: ECG rhythm waveforms

definition: This Observation type contains ECG "rhythm" waveforms.  The waveform samples are measured in absolute time (a.k.a. "subject time" or "effective time").  These waveforms are usually "raw" with some minimal amount of noise reduction and baseline filtering applied.


code: ORCON

display: no disclosure without originator authorization

definition: Prohibition on disclosure except as permitted by the information originator.


code: CPLYCC

display: comply with confidentiality code

definition: Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.


code: CPGC

display: certified Ph.D. medical genetics care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


code: ACIMMUN

display: immunization access

definition: Description: Provide consent to collect, use, disclose, or access immunization information for a patient.


code: ALLERLE

display: allergy list entry

definition: Description: A person enters a known allergy for a given patient.


display: Added Concurrent Therapy

definition: Instituted an additional therapy to mitigate potential negative effects


code: OBSANTC

display: antigen count

definition: Description: Indicates the valid antigen count.


code: UMBRL

display: umbrella liability insurance policy

definition: Definition: A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached. An umbrella liability policy also protects you (the insured) in many situations not covered by the usual liability policies.


code: FST

display: federal sales tax

definition: Federal tax on transactions such as the Goods and Services Tax (GST)


code: SCHL

display: school

definition: Description: The school the patient attended when immunized.


code: SSTOR

display: specimen in storage

definition: Description:Specimen has been placed into storage at a participating location.


code: CSDM

display: certified stroke disease management care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.


code: ISSUE

display: detected issue

definition:
There is a clinical issue for the therapy that makes continuation of the therapy inappropriate.

                           Open Issue: The definition of this code does not correctly represent the concept space of its specializations (children)


code: RADREPE

display: radiology report entry task

definition: A radiologist enters a report for a given patient.


code: GRADE

display: grade

definition: Description: The school grade or level the patient was in when immunized.


definition: The billable item codes to identify provider supplied charges or changes to the total billing of a claim.

display: ActInvoiceDetailGenericProviderCode


definition: The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.

display: ActInvoiceDetailTaxCode


code: INFAO

display: access only

definition:
Definition: Consent to access or "read" only, which entails that the information is not to be copied, screen printed, saved, emailed, stored, re-disclosed or altered in any way.  This level ensures that data which is masked or to which access is restricted will not be.

                           Example: Opened and then emailed or screen printed for use outside of the consent directive purpose.


code: MH

display: mental health information sensitivity

definition:
Policy for handling information related to psychological disorders, which is afforded heightened confidentiality. Mental health information may be deemed specifically sensitive and distinct from physical health, substance use disorders, and behavioral disabilities and disorders in some jurisdictions.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.


code: CCPC

display: certified clinical pathology care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


code: HOSPVSTR

display: Hospital Visitor Interaction

definition: Description: Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.


code: PDNPSPELAT

display: paid non-payee payable same-period electronic amount

definition: Identifies the total net amount of all  Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.


code: FORMAT

display: invalid format

definition: Description:The element does not follow the formatting or type rules defined for the field.


code: SECCLASSOBS

display: security classification observation

definition:
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 financial, reputational, or other harm that could result from unauthorized disclosure.

                           Rationale: A security classification observation may indicate that the confidentiality level indicated by an Act or Role confidentiality attribute has been overridden by the entity responsible for ascribing 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.

                           Examples: Types of security classification include: HL7 Confidentiality Codes such as very restricted, unrestricted, and normal.  Intelligence community examples include top secret, secret, and confidential.

                           Usage Note: Security classification observation type codes designate security label field types, which are valued with an applicable SecurityClassificationObservationValue code as the "security label tag".


code: ENAINT

display: Environmental Non-Allergy Intolerance

definition: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure

hierarchy: _ObservationType OINT EINT


code: ADPPSPELAT

display: adjud. payee payable same-period electronic amount

definition: Identifies the total net amount of all  Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.


code: DDP

display: Direct Deposit

definition: Electronic Funds Transfer (EFT) deposit into the payee's bank account


code: MEDCCAT

display: medical condition category

definition: Definition:All information pertaining to a patient's medical condition records.


code: INFREG

display: regulatory information transfer

definition: Authorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice.  For example, public health reporting of notifiable conditions.


code: SPI

display: specially protected information sensitivity

definition:
Policy for handling information deemed specially protected by law or policy including substance abuse, substance use, psychiatric, mental health, behavioral health, and cognitive disorders, which is afforded heightened confidentiality.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.


code: DICAT

display: diagnostic image category

definition: Definition:All information pertaining to a patient's diagnostic image records (orders & results).


code: ALLGCAT

display: allergy category

definition: Definition:All information pertaining to a patient's allergy and intolerance records.


definition: An observation identifying trust metadata about an IT resource (data, information object, service, or system capability), which may be used as a trust attribute to populate a computable trust policy, trust credential, trust assertion, or trust label field in a security label or trust policy, which are principally used for authentication, authorization, and access control decisions.

code: SECTRSTOBS

display: SECTRSTOBS


code: RACE

display: race information sensitivity

definition:
Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality.  Policies may govern sensitivity of information related to an information subject's race, the disclosure of which could impact the privacy, well-being, or safety of that subject.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


code: CEMC

display: certified emergency medicine care


definition: ObservationSequenceType

display: ObservationSequenceType


code: EMOTDIS

display: emotional disturbance information sensitivity

definition:
Policy for handling information related to emotional disturbance disorders and conditions caused by these disorders, which is afforded heightened confidentiality.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.

                        Typical used to characterize behavioral and mental health issues of adolescents where the disorder may be temporarily diagnosed in order to avoid the potential and unnecessary stigmatizing diagnoses of disorder long term.


code: EM

display: Emergency Supply

definition: A supply action where there is no 'valid' order for the supplied medication.  E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription)


definition: ActAdministrativeRuleDetectedIssueCode

display: ActAdministrativeRuleDetectedIssueCode


code: RECOV

display: recovery

definition: Retroactive adjustment such as fee rate adjustment due to contract negotiations.


code: COBSCAT

display: common observation category

definition: Definition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).


code: DISCHINSTE

display: discharge instruction entry

definition: A person provides a discharge instruction to a patient.


definition:
Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements.

                           Example:Hospital license; physician license; clinic accreditation.

display: act credentialed care


code: CCCC

display: certified clinical cytogenetics care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


code: DIAGLISTE

display: diagnosis list entry task

definition: A clinician enters a diagnosis for a given patient.


code: HIV

display: HIV/AIDS information sensitivity

definition:
Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to HIV or AIDS information that is deemed sensitive.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


code: ELG

display: Eligible

definition: Insurance coverage is in effect for healthcare service(s) and/or product(s).


code: RefrainPolicy

display: refrain policy

definition:
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.


code: SEV

display: Severity Observation

definition: A subjective evaluation of the seriousness or intensity associated with another observation.


code: ANANTRNS

display: animal to animal transmission

definition: Communication of an agent from one animal to another proximate animal.


code: DIET

display: Diet

definition: Code set to define specialized/allowed diets


code: ENDLATE

display: End Too Late Alert

definition: Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy


code: CDEP

display: certified depression care

definition: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.


code: DAY

display: day

definition: Transaction counts and value totals for each calendar day within the date range specified.


code: GENDER

display: gender and sexual orientation information sensitivity

definition:
Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality.  Policies may govern sensitivity of information related to an information subject's gender and sexual orientation, the disclosure of which could impact the privacy, well-being, or safety of that subject.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


display: absolute time sequence

definition: A sequence of values in the "absolute" time domain.  This is the same time domain that all HL7 timestamps use.  It is time as measured by the Gregorian calendar


code: DENEX

display: denominator exclusions

definition: Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.


code: PDPPPPELAT

display: paid payee payable prior-period electronic amount

definition: Identifies the total net amount of all  Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.


code: PHY

display: physician requested information sensitivity

definition:
Policy for handling information about a patient, which a physician or other licensed healthcare provider deems sensitive.  Once tagged by the provider, this may trigger alerts for follow up actions according to organizational policy or jurisdictional law.

                           Usage Note: For use within an enterprise that provides heightened confidentiality to certain types of information designated by a physician as sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

                        Use cases in which this code could be used are, e.g.,  in systems that lack the ability to automatically detect sensitive information and must rely on manual tagging; a system that lacks an applicable sensitivity tag, or for ad hoc situations where criticality of the situation requires that the tagging be done immediately by the provider before coding or transcription of consult notes can be completed, e.g., upon detection of a patient with suicidal tendencies or potential for violence.


code: SPLSCORING

display: scoring

definition:
Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s).

                           Example: One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3.

                           Constraints: Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH).


code: OBSA

display: Observation Alert

definition: Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient


display: ActDetectedIssueManagementCode

definition: Codes dealing with the management of Detected Issue observations


code: CEL

display: celebrity information sensitivity

definition:
Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality.  Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality.  Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location.

                           Usage Note:  For use within an enterprise in which the information subject is deemed a celebrity or very important person.  If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.


code: PDNFSPELAT

display: paid nullified same-period electronic amount

definition: Identifies the total net amount of all  Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.


code: CPNDINDING

display: compound ingredient invoice group

definition: A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup.


code: CNQC

display: certified neurology with special qualifications in child neurology care

definition: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.


code: CHAR

display: charity program

definition: Definition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.


code: CONT

display: contract

definition: Transaction counts and value totals by Contract Identifier.


code: REACT

display: Reaction Alert

definition: Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product


code: PSVCCAT

display: professional service category

definition: Definition:All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).


code: LOC

display: location

definition: Transaction counts and value totals by service location (e.g clinic).


code: PATPREF

display: violates stated preferences

definition: Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.


code: COSC

display: certified orthopaedic surgery care


display: ActAccountCode

definition: An account represents a grouping of financial transactions that are tracked and reported together with a single balance. 	 	Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.


code: NOAUTH

display: no disclosure without subject authorization

definition: Prohibition on disclosure without information subject's authorization.


definition: The billable item codes to identify adjudicator specified components to the total billing of a claim.

display: ActInvoiceDetailGenericAdjudicatorCode


code: VOLUME

display: ActSpecObsVolumeCode

definition: An observation that reports the volume of a sample.


code: DOSEHIND

display: High Dose for Indication Alert

definition: High Dose for Indication Alert


code: ENCRYPTR

display: encrypt at rest

definition: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage.


code: CTLSUB

display: Controlled Substance

definition: A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.


code: FMCOMPT

display: financial management compartment

definition:
Financial management department members who have access to healthcare consumer information as part of a patient account, billing and claims workflows.

                        Security Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a financial management workflow who is requesting access to that information.


code: I

display: Isolation

definition: Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.


code: AFTHRS

display: non-normal hours

definition: Premium paid on service fees in compensation for practicing outside of normal working hours.


code: SBNFELCT

display: submitted cancelled electronic count

definition: Identifies the total number of submitted  Invoice Groupings that were nullified within a time period and submitted electronically.  Adjudicated invoice elements are included.


code: DOSELINDSA

display: Low Dose for Height/Surface Area Alert

definition: Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area


code: LU

display: limited use

definition: Description:A drug that can be prescribed (and reimbursed) only if it meets certain criteria.


display: repetitions out of range

definition: Description:The number of repeating elements falls outside the range of the allowed number of repetitions.


definition: Administration of the proposed therapy may be inappropriate or contraindicated as proposed

child: COMPLY DOSE DUPTHPY

display: AdministrationDetectedIssueCode


code: ACDEMO

display: demographics access

definition: Description: Provide consent to collect, use, disclose, or access demographics information for a patient.


display: ActSubstanceAdministrationCode

definition: Description: Describes the type of substance administration being performed.  This should not be used to carry codes for identification of products.  Use an associated role or entity to carry such information.


code: EALG

display: Environmental Allergy

definition: An allergy to a substance other than a drug or a food.  E.g. Latex, pollen, etc.


code: MAXOCCURS

display: repetitions above maximum

definition: Description:The number of repeating elements is above the maximum number of repetitions allowed.


code: IMMUNIZ

display: Immunization

definition: The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.


code: COGN

display: cognitive disability information sensitivity

definition:
Policy for handling information related to cognitive disability disorders and conditions caused by these disorders, which are afforded heightened confidentiality.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.

                        Examples may include dementia, traumatic brain injury, attention deficit, hearing and visual disability such as dyslexia and other disorders and related conditions which impair learning and self-sufficiency.  However, the cognitive disabilities to which this term may apply  versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.


code: ETHUD

display: alcohol use disorder information sensitivity

definition:
Policy for handling information related to alcohol use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.

                           Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.


code: REFNR

display: referral not required

definition: Rules of practice do not require a physician's referral for the provider to perform a billable service.


code: CRIME

display: crime victim program

definition: Definition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.