Diagnostics
This
is
a
generalization
of
a
too
diverse
family
that
the
definition
can't
be
any
more
specific,
and
the
concept
is
abstract
so
one
Continuous
Integration
Build
of
the
specializations
should
FHIR
(will
be
used.
TRC
tracker
A
secondary
information
recipient,
who
receives
copies
(e.g.,
a
primary
care
provider
receiving
copies
of
results
as
ordered
by
specialist).
WIT
witness
Only
with
service
events.
A
person
witnessing
the
action
happening
without
doing
anything.
A
witness
is
not
necessarily
aware,
much
less
approves
of
anything
stated
in
the
service
event.
Example
for
a
witness
is
students
watching
an
operation
or
an
advanced
directive
witness.
Include
all
codes
defined
in
http://terminology.hl7.org/CodeSystem/extra-security-role-type
Include
these
codes
as
defined
in
http://dicom.nema.org/resources/ontology/DCM
Code
Display
110150
Application
Audit
participant
role
ID
of
software
application
110151
Application
Launcher
Audit
participant
role
ID
of
software
application
launcher,
i.e.,
the
entity
that
started
or
stopped
an
application
110152
Destination
Role
ID
Audit
participant
role
ID
of
the
receiver
of
data
110153
Source
Role
ID
Audit
participant
role
ID
of
incorrect/inconsistent
at
times).
See
the
sender
of
data
110154
Destination
Media
Audit
participant
role
ID
Directory
of
media
receiving
data
during
an
export
published
versions
110155
Source
Media
Audit
participant
role
ID
of
media
providing
data
during
an
import
|
|
|
|
This
includes
the
transcriptionist
for
dictated
text
transcribed
into
electronic
form.
VALID
http://terminology.hl7.org/CodeSystem/contractsignertypecodes
Validator
A
person
who
validates
a
health
information
document
for
inclusion
in
the
patient
record.
For
example,
a
medical
student
or
resident
is
credentialed
to
perform
history
or
physical
examinations
and
to
write
progress
notes.
The
attending
physician
signs
the
history
and
physical
examination
to
validate
the
entry
for
inclusion
in
the
patient's
medical
record.
VERF
http://terminology.hl7.org/CodeSystem/contractsignertypecodes
Verifier
A
person
who
asserts
the
correctness
and
appropriateness
of
an
act
or
the
recording
of
the
act,
and
is
accountable
for
the
assertion
that
the
act
or
the
recording
of
the
act
complies
with
jurisdictional
or
organizational
policy.
For
example,
a
physician
is
required
to
countersign
a
verbal
order
that
has
previously
been
recorded
in
the
medical
record
by
a
registered
nurse
who
has
carried
out
the
verbal
order.
AFFL
http://terminology.hl7.org/CodeSystem/v3-RoleClass
affiliate
Player
representation
of
the
Affiliate
role
has
a
business/professional
relationship
with
scoper.
Player
and
scoper
may
be
persons
or
organization.
The
Affiliate
relationship
does
not
imply
membership
in
a
group,
nor
does
it
exist
json
schema
for
resource
scheduling
purposes.
Example:
A
healthcare
provider
is
affiliated
with
another
provider
as
a
business
associate.
AGNT
http://terminology.hl7.org/CodeSystem/v3-RoleClass
agent
An
entity
(player)
that
acts
or
is
authorized
to
act
on
behalf
of
another
entity
(scoper).
ASSIGNED
http://terminology.hl7.org/CodeSystem/v3-RoleClass
assigned
entity
An
agent
role
in
ImagingSelection,
which
the
agent
is
an
Entity
acting
in
the
employ
of
an
organization.
The
focus
is
on
functional
role
on
behalf
of
the
organization,
unlike
the
Employee
role
where
the
focus
is
on
the
'Human
Resources'
relationship
between
the
employee
and
the
organization.
CLAIM
http://terminology.hl7.org/CodeSystem/v3-RoleClass
claimant
Description:
A
role
played
by
a
party
making
a
claim
for
coverage
under
a
policy
or
program.
A
claimant
must
be
either
a
person
or
organization,
or
a
group
of
persons
or
organizations.
A
claimant
is
not
a
named
insured
or
a
program
eligible.
Discussion:
With
respect
to
liability
insurance
such
as
property
and
casualty
insurance,
a
claimant
must
file
a
claim
requesting
indemnification
for
a
loss
that
the
claimant
considers
covered
under
the
policy
of
a
named
insured.
The
claims
adjuster
for
the
policy
underwriter
will
review
the
claim
to
determine
whether
the
loss
meets
the
benefit
coverage
criteria
under
a
policy,
and
base
any
indemnification
or
coverage
payment
on
that
review.
If
just
a
third
party
is
liable
in
whole
or
part
for
the
loss,
the
underwriter
may
pursue
third
party
liability
recovery.
A
claimant
may
be
involved
in
civil
or
criminal
legal
proceedings
involving
claims
against
a
defendant
party
that
is
indemnified
by
an
insurance
policy
or
to
protest
the
finding
of
a
claims
adjustor.
With
respect
to
life
insurance,
a
beneficiary
designated
by
a
named
insured
becomes
a
claimant
of
the
proceeds
of
coverage,
as
in
the
case
of
a
life
insurance
policy.
However,
a
claimant
for
coverage
under
life
insurance
is
not
necessarily
a
designated
beneficiary.
Note:
A
claimant
is
not
a
named
insured.
However,
a
named
insured
may
make
a
claim
under
a
policy,
e.g.,
an
insured
driver
may
make
a
claim
for
an
injury
under
his
or
her
comprehensive
automobile
insurance
policy.
Similarly,
a
program
eligible
may
make
a
claim
under
program,
e.g.,
an
unemployed
worker
may
claim
benefits
under
an
unemployment
insurance
program,
but
parties
playing
these
covered
party
role
classes
are
not,
for
purposes
of
this
vocabulary
and
in
an
effort
to
clearly
distinguish
role
classes,
considered
claimants.
In
the
case
of
a
named
insured
making
a
claim,
a
role
type
code
INSCLM
(insured
claimant)
subtypes
the
class
to
indicate
that
either
a
named
insured
or
an
individual
insured
has
filed
a
claim
for
a
loss.
In
the
case
of
a
program
eligible,
a
role
type
code
INJWKR
(injured
worker)
subtypes
the
class
to
indicate
that
the
covered
party
in
a
workers
compensation
program
is
an
injured
worker,
and
as
such,
has
filed
a
"claim"
under
the
program
for
benefits.
Likewise,
a
covered
role
type
code
UNEMP
(unemployed
worker)
subtypes
the
program
eligible
class
to
indicate
that
the
covered
party
in
an
unemployment
insurance
program
has
filed
a
claim
for
unemployment
benefits.
Example:
A
claimant
under
automobile
policy
that
is
not
the
named
insured.
COVPTY
http://terminology.hl7.org/CodeSystem/v3-RoleClass
covered
party
A
role
class
played
by
a
person
who
receives
benefit
coverage
under
the
terms
of
a
particular
insurance
policy.
The
underwriter
of
that
policy
is
the
scoping
entity.
The
covered
party
receives
coverage
because
of
some
contractual
or
other
relationship
with
the
holder
of
that
policy.
Discussion:This
reason
for
coverage
is
captured
in
'Role.code'
and
a
relationship
link
with
type
code
of
indirect
authority
should
be
included
using
the
policy
holder
role
as
the
source,
and
the
covered
party
role
as
the
target.
Note
that
a
particular
policy
may
cover
several
individuals
one
of
whom
may
be,
but
need
not
be,
the
policy
holder.
Thus
the
notion
of
covered
party
is
a
role
that
is
distinct
from
that
of
the
policy
holder.
DEPEN
http://terminology.hl7.org/CodeSystem/v3-RoleClass
dependent
Description:
A
role
played
by
a
person
covered
under
a
policy
or
program
based
on
an
association
with
a
subscriber,
which
is
recognized
by
the
policy
holder.
Note:
The
party
playing
the
role
of
a
dependent
is
not
a
claimant
in
the
sense
conveyed
by
the
RoleClassCoveredParty
CLAIM
(claimant).
However,
a
dependent
may
make
a
claim
under
a
policy,
e.g.,
a
dependent
under
a
health
insurance
policy
may
become
the
claimant
for
coverage
under
that
policy
for
wellness
examines
or
if
injured
and
there
is
no
liable
third
party.
In
the
case
of
a
dependent
making
a
claim,
a
role
type
code
INSCLM
(insured
claimant)
subtypes
the
class
to
indicate
that
the
dependent
has
filed
a
claim
for
services
covered
under
the
health
insurance
policy.
Example:
The
dependent
has
an
association
with
the
subscriber
such
as
a
financial
dependency
or
personal
relationship
such
as
that
of
a
spouse,
or
a
natural
or
adopted
child.
The
policy
holder
may
be
required
by
law
to
recognize
certain
associations
or
may
have
discretion
about
the
associations.
For
example,
a
policy
holder
may
dictate
the
criteria
for
the
dependent
status
of
adult
children
who
are
students,
such
as
requiring
full
time
enrollment,
or
may
recognize
domestic
partners
as
dependents.
Under
certain
circumstances,
the
dependent
may
be
under
the
indirect
authority
of
a
responsible
party
acting
as
a
surrogate
for
the
subscriber,
for
example,
if
the
subscriber
is
differently
abled
or
deceased,
a
guardian
ad
Lidem
or
estate
executor
may
be
appointed
to
assume
the
subscriberaTMs
legal
standing
in
the
relationship
with
the
dependent.
ECON
http://terminology.hl7.org/CodeSystem/v3-RoleClass
emergency
contact
An
entity
to
be
contacted
in
the
event
of
an
emergency.
EMP
http://terminology.hl7.org/CodeSystem/v3-RoleClass
employee
A
relationship
between
a
person
or
organization
and
a
person
or
organization
formed
for
the
purpose
of
exchanging
work
for
compensation.
The
purpose
of
the
role
is
to
identify
the
type
of
relationship
the
employee
has
to
the
employer,
rather
than
the
nature
of
the
work
actually
performed.
(Contrast
with
AssignedEntity.)
GUARD
http://terminology.hl7.org/CodeSystem/v3-RoleClass
guardian
Guardian
of
a
ward
INVSBJ
http://terminology.hl7.org/CodeSystem/v3-RoleClass
Investigation
Subject
An
entity
that
is
the
subject
of
an
investigation.
This
role
is
scoped
by
the
party
responsible
for
the
investigation.
NAMED
http://terminology.hl7.org/CodeSystem/v3-RoleClass
named
insured
Description:
A
role
played
by
a
party
to
an
insurance
policy
to
which
the
insurer
agrees
to
indemnify
for
losses,
provides
benefits
for,
or
renders
services.
A
named
insured
may
be
either
a
person,
non-person
living
subject,
or
an
organization,
or
a
group
of
persons,
non-person
living
subjects,
or
organizations.
Discussion:
The
coded
concept
NAMED
should
not
be
used
where
a
more
specific
child
concept
in
this
Specializable
value
set
applies.
In
some
cases,
the
named
insured
may
not
be
the
policy
holder,
e.g.,
where
a
policy
holder
purchases
life
insurance
policy
in
which
another
party
is
the
named
insured
and
the
policy
holder
is
the
beneficiary
of
the
policy.
Note:
The
party
playing
the
role
of
a
named
insured
is
not
a
claimant
in
the
sense
conveyed
by
the
RoleClassCoveredParty
CLAIM
(claimant).
However,
a
named
insured
may
make
a
claim
under
a
policy,
e.g.,
e.g.,
a
party
that
is
the
named
insured
and
policy
holder
under
a
comprehensive
automobile
insurance
policy
may
become
the
claimant
for
coverage
under
that
policy
e.g.,
if
injured
in
an
automobile
accident
and
there
is
no
liable
third
party.
In
the
case
of
a
named
insured
making
a
claim,
a
role
type
code
INSCLM
(insured
claimant)
subtypes
the
class
to
indicate
that
a
named
insured
has
filed
a
claim
for
a
loss.
Example:
The
named
insured
under
a
comprehensive
automobile,
disability,
or
property
and
casualty
policy
that
is
the
named
insured
and
may
or
may
not
be
the
policy
holder.
NOK
http://terminology.hl7.org/CodeSystem/v3-RoleClass
next
of
kin
An
individual
designated
for
notification
as
the
next
of
kin
for
a
given
entity.
PAT
http://terminology.hl7.org/CodeSystem/v3-RoleClass
patient
A
Role
of
a
LivingSubject
(player)
as
an
actual
or
potential
recipient
of
health
care
services
from
a
healthcare
provider
organization
(scoper).
Usage
Note:
Communication
about
relationships
between
patients
and
specific
healthcare
practitioners
(people)
is
not
done
via
scoper.
Instead
this
is
generally
done
using
the
CareProvision
act.
This
allows
linkage
between
patient
and
a
particular
healthcare
practitioner
role
and
also
allows
description
of
the
type
of
care
involved
in
the
relationship.
PROV
http://terminology.hl7.org/CodeSystem/v3-RoleClass
healthcare
provider
An
Entity
(player)
that
is
authorized
to
provide
health
care
services
by
some
authorizing
agency
(scoper).
NOT
http://terminology.hl7.org/CodeSystem/v3-RoleClass
notary
public
notary
public
CLASSIFIER
http://terminology.hl7.org/CodeSystem/v3-RoleCode
classifier
An
individual
authorized
to
assign
an
original
classification
to
information,
including
compilations
of
unclassified
information,
based
on
a
determination
that
the
information
requires
protection
against
unauthorized
disclosure.
The
individual
marks
the
information
with
immutable,
computable,
and
human
readable
security
labels
in
accordance
with
applicable
security
labeling
policies.
The
labeling
policies
provide
instructions
on
whether
and
if
so
how
the
security
labels
may
be
later
reclassified
[i.e.,
upgraded,
downgraded,
used
in
derivative
classification,
or
declassified]
in
a
manner
that
preserves
the
overridden
original
classification
binding
and
provenance.
CONSENTER
http://terminology.hl7.org/CodeSystem/v3-RoleCode
consenter
An
entity
or
an
entity's
delegatee
who
is
the
grantee
in
an
agreement
such
as
a
consent
for
services,
advanced
directive,
or
a
privacy
consent
directive
in
accordance
with
jurisdictional,
organizational,
or
patient
policy.
CONSWIT
http://terminology.hl7.org/CodeSystem/v3-RoleCode
consent
witness
An
entity
which
has
witnessed
and
attests
to
observing
another
entity
being
counseled
about
an
agreement
such
as
a
consent
for
services,
advanced
directive,
or
a
privacy
consent
directive.
COPART
http://terminology.hl7.org/CodeSystem/v3-RoleCode
co-participant
An
entity
which
participates
in
the
generation
of
and
attest
to
veracity
of
content,
but
is
not
an
author
or
coauthor.
For
example
a
surgeon
who
is
required
by
institutional,
regulatory,
or
legal
rules
to
sign
an
operative
report,
but
who
was
not
involved
in
the
authorship
of
that
report.
DECLASSIFIER
http://terminology.hl7.org/CodeSystem/v3-RoleCode
declassifier
An
individual
which
is
authorized
to
declassify
information
based
on
a
determination
that
the
information
no
longer
requires
protection
against
unauthorized
disclosure.
The
individual
marks
the
information
being
declassified
using
computable
and
human
readable
security
labels
indicating
that
this
is
copy
of
previously
classified
information
is
unclassified
in
accordance
with
applicable
security
labeling
policies.
The
labeling
policies
provide
instructions
on
whether
and
if
so
how
the
security
labels
may
be
later
reclassified
[i.e.,
upgraded
or
used
in
derivative
classification]
in
a
manner
that
preserves
the
overridden
original
classification
binding
and
provenance.
DELEGATEE
http://terminology.hl7.org/CodeSystem/v3-RoleCode
delegatee
A
party
to
whom
some
right
or
authority
is
granted
by
a
delegator.
DELEGATOR
http://terminology.hl7.org/CodeSystem/v3-RoleCode
delegator
A
party
that
grants
all
or
some
portion
its
right
or
authority
to
another
party.
DOWNGRDER
http://terminology.hl7.org/CodeSystem/v3-RoleCode
downgrader
An
individual
authorized
to
lower
the
classification
level
of
labeled
content
and
provide
rationale
for
doing
so
as
directed
by
a
classification
guide.
DPOWATT
http://terminology.hl7.org/CodeSystem/v3-RoleCode
durable
power
of
attorney
A
relationship
between
two
people
in
which
one
person
authorizes
another,
usually
a
family
member
or
relative,
to
act
for
him
or
her
in
a
manner
which
is
a
legally
binding
upon
the
person
giving
such
authority
as
if
he
or
she
personally
were
to
do
the
acts
that
is
often
limited
in
the
kinds
of
powers
that
can
be
assigned.
Unlike
ordinary
powers
of
attorney,
durable
powers
can
survive
for
long
periods
of
time,
and
again,
unlike
standard
powers
of
attorney,
durable
powers
can
continue
after
incompetency.
EXCEST
http://terminology.hl7.org/CodeSystem/v3-RoleCode
executor
of
estate
The
role
played
by
a
person
acting
as
the
estate
executor
for
a
deceased
subscriber
or
policyholder
who
was
the
responsible
party
GRANTEE
http://terminology.hl7.org/CodeSystem/v3-RoleCode
grantee
An
entity
which
accepts
certain
rights
or
authority
from
a
grantor.
GRANTOR
http://terminology.hl7.org/CodeSystem/v3-RoleCode
grantor
An
entity
which
agrees
to
confer
certain
rights
or
authority
to
a
grantee.
GT
http://terminology.hl7.org/CodeSystem/v3-RoleCode
Guarantor
An
individual
or
organization
that
makes
or
gives
a
promise,
assurance,
pledge
to
pay
or
has
paid
the
healthcare
service
provider.
GUADLTM
http://terminology.hl7.org/CodeSystem/v3-RoleCode
guardian
ad
lidem
The
role
played
by
a
person
appointed
by
the
court
to
look
out
for
the
best
interests
of
a
minor
child
during
the
course
of
legal
proceedings.
HPOWATT
http://terminology.hl7.org/CodeSystem/v3-RoleCode
healthcare
power
of
attorney
A
relationship
between
two
people
in
which
one
person
authorizes
another
to
act
for
him
or
her
in
a
manner
which
is
a
legally
binding
upon
the
person
giving
such
authority
as
if
he
or
she
personally
were
to
do
the
acts
that
continues
(by
its
terms)
to
be
effective
even
though
the
grantor
has
become
mentally
incompetent
after
signing
the
document.
INTPRTER
http://terminology.hl7.org/CodeSystem/v3-RoleCode
interpreter
An
entity
which
converts
spoken
or
written
language
into
the
language
of
key
participants
in
an
event
such
as
when
a
provider
is
obtaining
a
patient's
consent
to
treatment
or
permission
to
disclose
information.
POWATT
http://terminology.hl7.org/CodeSystem/v3-RoleCode
power
of
attorney
A
relationship
between
two
people
in
which
one
person
authorizes
another
to
act
for
him
in
a
manner
which
is
a
legally
binding
upon
the
person
giving
such
authority
as
if
he
or
she
personally
were
to
do
the
acts.
RESPRSN
http://terminology.hl7.org/CodeSystem/v3-RoleCode
responsible
party
The
role
played
by
a
party
who
has
legal
responsibility
for
another
party.
SPOWATT
http://terminology.hl7.org/CodeSystem/v3-RoleCode
special
power
of
attorney
A
relationship
between
two
people
in
which
one
person
authorizes
another
to
act
for
him
or
her
in
a
manner
which
is
a
legally
binding
upon
the
person
giving
such
authority
as
if
he
or
she
personally
were
to
do
the
acts
that
is
often
limited
in
the
kinds
of
powers
that
can
be
assigned.
_CitizenRoleType
http://terminology.hl7.org/CodeSystem/v3-RoleCode
CitizenRoleType
A
role
type
used
to
qualify
a
person's
legal
status
within
a
country
or
nation.
CAS
http://terminology.hl7.org/CodeSystem/v3-RoleCode
asylum
seeker
A
person
who
has
fled
his
or
her
home
country
to
find
a
safe
place
elsewhere.
CASM
http://terminology.hl7.org/CodeSystem/v3-RoleCode
single
minor
asylum
seeker
A
person
who
is
someone
of
below
legal
age
who
has
fled
his
or
her
home
country,
without
his
or
her
parents,
to
find
a
safe
place
elsewhere
at
time
of
categorization.
CN
http://terminology.hl7.org/CodeSystem/v3-RoleCode
national
A
person
who
is
legally
recognized
as
a
member
of
a
nation
or
country,
with
associated
rights
and
obligations.
CNRP
http://terminology.hl7.org/CodeSystem/v3-RoleCode
non-country
member
without
residence
permit
A
foreigner
who
is
present
in
a
country
(which
is
foreign
to
him/her)
unlawfully
or
without
the
country's
authorization
(may
be
called
an
illegal
alien).
CNRPM
http://terminology.hl7.org/CodeSystem/v3-RoleCode
non-country
member
minor
without
residence
permit
A
person
who
is
below
legal
age
present
in
a
country,
without
his
or
her
parents,
(which
is
foreign
to
him/her)
unlawfully
or
without
the
country's
authorization.
CPCA
http://terminology.hl7.org/CodeSystem/v3-RoleCode
permit
card
applicant
A
non-country
member
admitted
to
the
territory
of
a
nation
or
country
as
a
non-resident
for
an
explicit
purpose.
CRP
http://terminology.hl7.org/CodeSystem/v3-RoleCode
non-country
member
with
residence
permit
A
foreigner
who
is
a
resident
of
the
country
but
does
not
have
citizenship.
CRPM
http://terminology.hl7.org/CodeSystem/v3-RoleCode
non-country
member
minor
with
residence
permit
A
person
who
is
a
resident
below
legal
age
of
the
country
without
his
or
her
parents
and
does
not
have
citizenship.
AUCG
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction
caregiver
information
receiver
Description:Caregiver
authorized
to
receive
patient
health
information.
AULR
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction
legitimate
relationship
information
receiver
Description:Provider
with
legitimate
relationship
authorized
to
receive
patient
health
information.
AUTM
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction
care
team
information
receiver
Description:Member
of
care
team
authorized
to
receive
patient
health
information.
AUWA
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction
work
area
information
receiver
Description:Entities
within
specified
work
area
authorized
to
receive
patient
health
information.
PROMSK
http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction
authorized
provider
masking
author
Definition:Provider
authorized
to
mask
information
to
protect
the
patient,
a
third
party,
or
to
ensure
that
the
provider
has
consulted
with
the
patient
prior
to
release
of
this
information.
AUT
http://terminology.hl7.org/CodeSystem/v3-ParticipationType
author
(originator)
Definition:
A
party
that
originates
the
Act
and
therefore
has
responsibility
for
the
information
given
in
the
Act
and
ownership
of
this
Act.
Example:
the
report
writer,
the
person
writing
the
act
definition,
the
guideline
author,
the
placer
of
an
order,
the
EKG
cart
(device)
creating
a
report
etc.
Every
Act
should
have
an
author.
Authorship
is
regardless
of
mood
always
actual
authorship.
Examples
of
such
policies
might
include:
The
author
and
anyone
they
explicitly
delegate
may
update
the
report;
All
administrators
within
the
same
clinic
may
cancel
and
reschedule
appointments
created
by
other
administrators
within
that
clinic;
A
party
that
is
neither
an
author
nor
a
party
who
is
extended
authorship
maintenance
rights
by
policy,
may
only
amend,
reverse,
override,
replace,
or
follow
up
in
other
ways
on
this
Act,
whereby
the
Act
remains
intact
and
is
linked
to
another
Act
authored
by
that
other
party.
CST
http://terminology.hl7.org/CodeSystem/v3-ParticipationType
custodian
An
entity
(person,
organization
or
device)
that
is
in
charge
of
maintaining
the
information
of
this
act
(e.g.,
who
maintains
the
report
or
the
master
service
catalog
item,
etc.).
INF
http://terminology.hl7.org/CodeSystem/v3-ParticipationType
informant
A
source
of
reported
information
(e.g.,
a
next
of
kin
who
answers
questions
about
the
patient's
history).
For
history
questions,
the
patient
is
logically
an
informant,
yet
the
informant
of
history
questions
is
implicitly
the
subject.
IRCP
http://terminology.hl7.org/CodeSystem/v3-ParticipationType
information
recipient
A
party,
who
may
or
should
receive
or
who
has
recieved
the
Act
or
subsequent
or
derivative
information
of
that
Act.
Information
recipient
is
inert,
i.e.,
independent
of
mood."
Rationale:
this
is
a
generalization
of
a
too
diverse
family
that
the
definition
can't
be
any
more
specific,
and
the
concept
is
abstract
so
one
of
the
specializations
should
be
used.
LA
http://terminology.hl7.org/CodeSystem/v3-ParticipationType
legal
authenticator
A
verifier
who
legally
authenticates
the
accuracy
of
an
act.
An
example
would
be
a
staff
physician
who
sees
a
patient
and
dictates
a
note,
then
later
signs
it.
Their
signature
constitutes
a
legal
authentication.
TRC
http://terminology.hl7.org/CodeSystem/v3-ParticipationType
tracker
A
secondary
information
recipient,
who
receives
copies
(e.g.,
a
primary
care
provider
receiving
copies
of
results
as
ordered
by
specialist).
WIT
http://terminology.hl7.org/CodeSystem/v3-ParticipationType
witness
Only
with
service
events.
A
person
witnessing
the
action
happening
without
doing
anything.
A
witness
is
not
necessarily
aware,
much
less
approves
of
anything
stated
in
the
service
event.
Example
for
a
witness
is
students
watching
an
operation
or
an
advanced
directive
witness.
authserver
http://terminology.hl7.org/CodeSystem/extra-security-role-type
authorization
server
An
entity
providing
authorization
services
to
enable
the
electronic
sharing
of
health-related
information
based
on
resource
owner's
preapproved
permissions.
For
example,
an
UMA
Authorization
Server[UMA]
datacollector
http://terminology.hl7.org/CodeSystem/extra-security-role-type
data
collector
An
entity
that
collects
information
over
which
the
data
subject
may
have
certain
rights
under
policy
or
law
to
control
that
information's
management
and
distribution
by
data
collectors,
including
the
right
to
access,
retrieve,
distribute,
or
delete
that
information.
dataprocessor
http://terminology.hl7.org/CodeSystem/extra-security-role-type
data
processor
An
entity
that
processes
collected
information
over
which
the
data
subject
may
have
certain
rights
under
policy
or
law
to
control
that
information's
management
and
distribution
by
data
processors,
including
the
right
to
access,
retrieve,
distribute,
or
delete
that
information.
datasubject
http://terminology.hl7.org/CodeSystem/extra-security-role-type
data
subject
A
person
whose
personal
information
is
collected
or
processed,
and
who
may
have
certain
rights
under
policy
or
law
to
control
that
information's
management
and
distribution
by
data
collectors
or
processors,
including
the
right
to
access,
retrieve,
distribute,
or
delete
that
information.
humanuser
http://terminology.hl7.org/CodeSystem/extra-security-role-type
human
user
The
human
user
that
has
participated.
110150
http://dicom.nema.org/resources/ontology/DCM
Application
Audit
participant
role
ID
of
software
application
110151
http://dicom.nema.org/resources/ontology/DCM
Application
Launcher
Audit
participant
role
ID
of
software
application
launcher,
i.e.,
the
entity
that
started
or
stopped
an
application
110152
http://dicom.nema.org/resources/ontology/DCM
Destination
Role
ID
Audit
participant
role
ID
of
the
receiver
of
data
110153
http://dicom.nema.org/resources/ontology/DCM
Source
Role
ID
Audit
participant
role
ID
of
the
sender
of
data
110154
http://dicom.nema.org/resources/ontology/DCM
Destination
Media
Audit
participant
role
ID
of
media
receiving
data
during
an
export
110155
http://dicom.nema.org/resources/ontology/DCM
Source
Media
Audit
participant
role
ID
of
media
providing
data
during
an
import
See
the
full
registry
of
value
sets
defined
as
part
of
FHIR.
Explanation
of
the
columns
that
may
appear
on
this
page:
JSON
Schema
.
{
"$schema": "http://json-schema.org/draft-06/schema#",
"id": "http://hl7.org/fhir/json-schema/ImagingSelection",
"$ref": "#/definitions/ImagingSelection",
"description": "see http://hl7.org/fhir/json.html#schema for information about the FHIR Json Schemas",
"definitions": {
"ImagingSelection": {
"description": "A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource.",
"properties": {
"resourceType": {
"description": "This is a ImagingSelection resource",
"const": "ImagingSelection"
},
"id": {
"description": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"$ref": "id.schema.json#/definitions/id"
},
"meta": {
"description": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"$ref": "Meta.schema.json#/definitions/Meta"
},
"implicitRules": {
"description": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-additionalImplicitRules.html) extension.",
"$ref": "#/definitions/uri"
},
"_implicitRules": {
"description": "Extensions for implicitRules",
"$ref": "Element.schema.json#/definitions/Element"
},
"language": {
"description": "The base language in which the resource is written.",
"$ref": "#/definitions/code"
},
"_language": {
"description": "Extensions for language",
"$ref": "Element.schema.json#/definitions/Element"
},
"text": {
"description": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"$ref": "Narrative.schema.json#/definitions/Narrative"
},
"contained": {
"description": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.",
"items": {
"$ref": "ResourceList.schema.json#/definitions/ResourceList"
},
"type": "array"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"identifier": {
"description": "Business identifiers assigned to this imaging selection by the performer and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server.",
"items": {
"$ref": "Identifier.schema.json#/definitions/Identifier"
},
"type": "array"
},
"status": {
"description": "The current state of the imaging selection. This is distinct from the status of any imaging study, service request, or task associated with the imaging selection.",
"$ref": "#/definitions/code"
},
"_status": {
"description": "Extensions for status",
"$ref": "Element.schema.json#/definitions/Element"
},
"category": {
"description": "Classifies the general purpose of the imaging selection.",
"items": {
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"type": "array"
},
"modality": {
"description": "The distinct modality for this selected series. This MAY be either an acquisition modality (e.g. CT, MR) or a non-acquisition modality (e.g. segmentation, presentation state).",
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"code": {
"description": "Identifies the type of imaging selection.",
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"subject": {
"description": "The subject, typically a patient, of the imaging selection.",
"$ref": "Reference.schema.json#/definitions/Reference"
},
"issued": {
"description": "Date and time the imaging selection was created.",
"$ref": "#/definitions/instant"
},
"_issued": {
"description": "Extensions for issued",
"$ref": "Element.schema.json#/definitions/Element"
},
"performer": {
"description": "Indicates who or what performed the imaging selection and how they were involved.",
"items": {
"$ref": "#/definitions/ImagingSelection_Performer"
},
"type": "array"
},
"basedOn": {
"description": "A plan or order that is fulfilled in whole or in part by this imaging selection.",
"items": {
"$ref": "Reference.schema.json#/definitions/Reference"
},
"type": "array"
},
"derivedFrom": {
"description": "The imaging study from which the imaging selection is made.",
"$ref": "Reference.schema.json#/definitions/Reference"
},
"studyUid": {
"description": "The Study Instance UID for the DICOM Study from which the images were selected.",
"$ref": "#/definitions/id"
},
"_studyUid": {
"description": "Extensions for studyUid",
"$ref": "Element.schema.json#/definitions/Element"
},
"seriesUid": {
"description": "The DICOM Series Instance UID of the selected series.",
"$ref": "#/definitions/id"
},
"_seriesUid": {
"description": "Extensions for seriesUid",
"$ref": "Element.schema.json#/definitions/Element"
},
"seriesNumber": {
"description": "The numeric identifier of the selected series in the study.",
"$ref": "#/definitions/unsignedInt"
},
"_seriesNumber": {
"description": "Extensions for seriesNumber",
"$ref": "Element.schema.json#/definitions/Element"
},
"frameOfReferenceUid": {
"description": "Identifier used to group composite instances that have the same coordinate system that conveys spatial and/or temporal information.",
"$ref": "#/definitions/id"
},
"_frameOfReferenceUid": {
"description": "Extensions for frameOfReferenceUid",
"$ref": "Element.schema.json#/definitions/Element"
},
"bodySite": {
"description": "The anatomic structures selected. See [DICOM Part 16 Annex L](http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite MAY include the laterality of body part imaged.",
"items": {
"$ref": "CodeableReference.schema.json#/definitions/CodeableReference"
},
"type": "array"
},
"focus": {
"description": "The actual focus of an imaging selection when it is another imaging selection resource and not the patient of record.",
"items": {
"$ref": "Reference.schema.json#/definitions/Reference"
},
"type": "array"
},
"endpoint": {
"description": "The network services providing access to the selected images, frames, etc. See implementation notes for information about using DICOM endpoints.",
"items": {
"$ref": "Reference.schema.json#/definitions/Reference"
},
"type": "array"
},
"instance": {
"description": "Each imaging selection includes one or more selected DICOM SOP instances.",
"items": {
"$ref": "#/definitions/ImagingSelection_Instance"
},
"type": "array"
},
"imageRegion3D": {
"description": "Specifies a 3D image region, defined by a region type and a set of 3D coordinates.",
"items": {
"$ref": "#/definitions/ImagingSelection_ImageRegion3D"
},
"type": "array"
}
},
"type": "object",
"additionalProperties": false,
"required": [
"code",
"resourceType"
]
},
"ImagingSelection_Performer": {
"description": "A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"function": {
"description": "Distinguishes the type of involvement of the performer in the imaging selection.",
"$ref": "CodeableConcept.schema.json#/definitions/CodeableConcept"
},
"actor": {
"description": "Indicates who or what performed the imaging selection.",
"$ref": "Reference.schema.json#/definitions/Reference"
}
},
"type": "object",
"additionalProperties": false,
"required": [
"actor"
]
},
"ImagingSelection_Instance": {
"description": "A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"uid": {
"description": "The SOP Instance UID for the selected DICOM this image or other DICOM content.",
"$ref": "#/definitions/id"
},
"_uid": {
"description": "Extensions for uid",
"$ref": "Element.schema.json#/definitions/Element"
},
"number": {
"description": "TThe number of the instance assigned by the creator of the series. MAY or MAY NOT correspond to intended display order.",
"$ref": "#/definitions/unsignedInt"
},
"_number": {
"description": "Extensions for number",
"$ref": "Element.schema.json#/definitions/Element"
},
"sopClass": {
"description": "DICOM instance type.",
"$ref": "#/definitions/oid"
},
"_sopClass": {
"description": "Extensions for sopClass",
"$ref": "Element.schema.json#/definitions/Element"
},
"frameNumber": {
"description": "A list of frame numbers selected from a multiframe SOP Instance (See [DICOM PS 3.3 Table 10.3](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_10.3.html#table_10-3)).",
"items": {
"$ref": "#/definitions/positiveInt"
},
"type": "array"
},
"_frameNumber": {
"description": "Extensions for frameNumber",
"items": {
"$ref": "Element.schema.json#/definitions/Element"
},
"type": "array"
},
"referencedContentItemIdentifier": {
"description": "A list of Referenced Content Item Identifier values selected from a DICOM SR or other structured document SOP Instance (See [DICOM PS 3.3 C.17.3.2.5](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.17.3.2.5.html)).",
"items": {
"$ref": "#/definitions/positiveInt"
},
"type": "array"
},
"_referencedContentItemIdentifier": {
"description": "Extensions for referencedContentItemIdentifier",
"items": {
"$ref": "Element.schema.json#/definitions/Element"
},
"type": "array"
},
"segmentNumber": {
"description": "A list of segment numbers selected from a segmentation SOP Instance (See [DICOM PS 3.3 Table C.8.20-4](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.20.4.html#table_C.8.20-4)).",
"items": {
"$ref": "#/definitions/positiveInt"
},
"type": "array"
},
"_segmentNumber": {
"description": "Extensions for segmentNumber",
"items": {
"$ref": "Element.schema.json#/definitions/Element"
},
"type": "array"
},
"regionOfInterest": {
"description": "A list of Region of Interest (ROI) numbers selected from a radiotherapy structure set SOP Instance (See [DICOM PS 3.3 C.8.8.5](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.8.8.5.html)).",
"items": {
"$ref": "#/definitions/positiveInt"
},
"type": "array"
},
"_regionOfInterest": {
"description": "Extensions for regionOfInterest",
"items": {
"$ref": "Element.schema.json#/definitions/Element"
},
"type": "array"
},
"waveFormChannel": {
"description": "A list of channels in a Waveform selected from an instance of a waveform SOP Class.\nEach channel is specified as a pair of values where the first value is the Multiplex Group Number, and the second value is the Channel Number within the multiplex group (See [DICOM PS 3.3 C.18.5.1.1](https://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.18.5.html#sect_C.18.5.1.1)).",
"items": {
"$ref": "#/definitions/positiveInt"
},
"type": "array"
},
"_waveFormChannel": {
"description": "Extensions for waveFormChannel",
"items": {
"$ref": "Element.schema.json#/definitions/Element"
},
"type": "array"
},
"imageRegion2D": {
"description": "Specifies an image region, defined by a region type and a set of 2D coordinates in pixel space.",
"items": {
"$ref": "#/definitions/ImagingSelection_ImageRegion2D"
},
"type": "array"
}
},
"type": "object",
"additionalProperties": false
},
"ImagingSelection_ImageRegion2D": {
"description": "A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"regionType": {
"description": "The type of image region.",
"$ref": "#/definitions/code"
},
"_regionType": {
"description": "Extensions for regionType",
"$ref": "Element.schema.json#/definitions/Element"
},
"coordinate": {
"description": "The coordinates defining the image region. Encoded as a set of (column, row) pairs that denote positions in the selected image / frames specified with sub-pixel resolution.\nThe origin at the TLHC of the TLHC pixel is 0.0\\0.0, the BRHC of the TLHC pixel is 1.0\\1.0, and the BRHC of the BRHC pixel is the number of columns\\rows in the image / frames. The values SHALL be within the range 0\\0 to the number of columns\\rows in the image / frames.",
"items": {
"$ref": "#/definitions/decimal"
},
"type": "array"
},
"_coordinate": {
"description": "Extensions for coordinate",
"items": {
"$ref": "Element.schema.json#/definitions/Element"
},
"type": "array"
}
},
"type": "object",
"additionalProperties": false
},
"ImagingSelection_ImageRegion3D": {
"description": "A selection of DICOM SOP instances within a single Study and Series. This might include additional specifics such as a set of frames or an image region, allowing linkage to an Observation Resource.",
"properties": {
"id": {
"description": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"$ref": "string.schema.json#/definitions/string"
},
"extension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"modifierExtension": {
"description": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element\u0027s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"items": {
"$ref": "Extension.schema.json#/definitions/Extension"
},
"type": "array"
},
"regionType": {
"description": "Specifies the type of image region.",
"$ref": "#/definitions/code"
},
"_regionType": {
"description": "Extensions for regionType",
"$ref": "Element.schema.json#/definitions/Element"
},
"coordinate": {
"description": "The coordinates defining the image region. Encoded as an ordered set of (x,y,z) triplets (in mm and MAY be negative) that define a region of interest in the patient-relative Reference Coordinate System defined by ImagingSelection.frameOfReferenceUid element.",
"items": {
"$ref": "#/definitions/decimal"
},
"type": "array"
},
"_coordinate": {
"description": "Extensions for coordinate",
"items": {
"$ref": "Element.schema.json#/definitions/Element"
},
"type": "array"
}
},
"type": "object",
"additionalProperties": false
}
}
}
FHIR
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FHIR
Release
4
(Technical
Correction
#1)
(v4.0.1)
R6
hl7.fhir.core#6.0.0-ballot3
generated
on
Fri,
Nov
1,
2019
09:33+1100.
QA
Page
Wed,
Dec
17,
2025
09:54+0000.
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