|
Level
|
Code
|
Display
|
Definition
|
|
1
|
PART
|
Participation
|
Indicates
that
the
target
of
the
participation
is
involved
in
some
manner
in
the
act,
but
does
not
qualify
how.
|
|
2
|
(_ParticipationAncillary)
Abstract
|
|
Participations
related,
but
not
primary
to
an
act.
The
Referring,
Admitting,
and
Discharging
practitioners
must
be
the
same
person
as
those
authoring
the
ControlAct
event
for
their
respective
trigger
events.
|
|
3
|
ADM
|
admitter
|
The
practitioner
who
is
responsible
for
admitting
a
patient
to
a
patient
encounter.
|
|
3
|
ATND
|
attender
|
The
practitioner
that
has
responsibility
for
overseeing
a
patient's
care
during
a
patient
encounter.
|
|
3
|
CALLBCK
|
callback
contact
|
A
person
or
organization
who
should
be
contacted
for
follow-up
questions
about
the
act
in
place
of
the
author.
|
|
3
|
CON
|
consultant
|
An
advisor
participating
in
the
service
by
performing
evaluations
and
making
recommendations.
|
|
3
|
DIS
|
discharger
|
The
practitioner
who
is
responsible
for
the
discharge
of
a
patient
from
a
patient
encounter.
|
|
3
|
ESC
|
escort
|
Only
with
Transportation
services.
A
person
who
escorts
the
patient.
|
|
3
|
REF
|
referrer
|
A
person
having
referred
the
subject
of
the
service
to
the
performer
(referring
physician).
Typically,
a
referring
physician
will
receive
a
report.
|
|
2
|
(_ParticipationInformationGenerator)
Abstract
|
|
Parties
that
may
or
should
contribute
or
have
contributed
information
to
the
Act.
Such
information
includes
information
leading
to
the
decision
to
perform
the
Act
and
how
to
perform
the
Act
(e.g.,
consultant),
information
that
the
Act
itself
seeks
to
reveal
(e.g.,
informant
of
clinical
history),
or
information
about
what
Act
was
performed
(e.g.,
informant
witness).
|
|
3
|
AUT
|
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.
|
|
3
|
INF
|
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.
|
|
3
|
TRANS
|
Transcriber
|
An
entity
entering
the
data
into
the
originating
system.
The
data
entry
entity
is
collected
optionally
for
internal
quality
control
purposes.
This
includes
the
transcriptionist
for
dictated
text
transcribed
into
electronic
form.
|
|
4
|
ENT
|
data
entry
person
|
A
person
entering
the
data
into
the
originating
system.
The
data
entry
person
is
collected
optionally
for
internal
quality
control
purposes.
This
includes
the
transcriptionist
for
dictated
text.
|
|
3
|
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.
|
|
2
|
CST
|
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.).
|
|
2
|
DIR
|
direct
target
|
Target
participant
that
is
substantially
present
in
the
act
and
which
is
directly
involved
in
the
action
(includes
consumed
material,
devices,
etc.).
|
|
3
|
ALY
|
analyte
|
The
target
of
an
Observation
action.
Links
an
observation
to
a
Role
whose
player
is
the
substance
or
most
specific
component
entity
(material,
micro-organism,
etc.)
being
measured
within
the
subject.
Examples:
A
"plasma
porcelain
substance
concentration"
has
analyte
a
Role
with
player
substance
Entity
"porcelain".
UsageNotes:
The
Role
that
this
participation
connects
to
may
be
any
Role
whose
player
is
that
substance
measured.
Very
often,
the
scoper
may
indicate
the
system
in
which
the
component
is
being
measured.
E.g.,
for
"plasma
porcelain"
the
scoper
could
be
"Plasma".
|
|
3
|
BBY
|
baby
|
In
an
obstetric
service,
the
baby.
|
|
3
|
CAT
|
catalyst
|
The
catalyst
of
a
chemical
reaction,
such
as
an
enzyme
or
a
platinum
surface.
In
biochemical
reactions,
connects
the
enzyme
with
the
molecular
interaction
|
|
3
|
CSM
|
consumable
|
Participant
material
that
is
taken
up,
diminished,
altered,
or
disappears
in
the
act.
|
|
4
|
TPA
|
therapeutic
agent
|
Something
incorporated
in
the
subject
of
a
therapy
service
to
achieve
a
physiologic
effect
(e.g.,
heal,
relieve,
provoke
a
condition,
etc.)
on
the
subject.
In
an
administration
service
the
therapeutic
agent
is
a
consumable,
in
a
preparation
or
dispense
service,
it
is
a
product.
Thus,
consumable
or
product
must
be
specified
in
accordance
with
the
kind
of
service.
|
|
3
|
DEV
|
device
|
Participant
used
in
performing
the
act
without
being
substantially
affected
by
the
act
(i.e.
durable
or
inert
with
respect
to
that
particular
service).
Examples:
monitoring
equipment,
tools,
but
also
access/drainage
lines,
prostheses,
pace
maker,
etc.
|
|
4
|
NRD
|
non-reuseable
device
|
A
device
that
changes
ownership
due
to
the
service,
e.g.,
a
pacemaker,
a
prosthesis,
an
insulin
injection
equipment
(pen),
etc.
Such
material
may
need
to
be
restocked
after
he
service.
|
|
4
|
RDV
|
reusable
device
|
A
device
that
does
not
change
ownership
due
to
the
service,
i.e.,
a
surgical
instrument
or
tool
or
an
endoscope.
The
distinction
between
reuseable
and
non-reuseable
must
be
made
in
order
to
know
whether
material
must
be
re-stocked.
|
|
3
|
DON
|
donor
|
In
some
organ
transplantation
services
and
rarely
in
transfusion
services
a
donor
will
be
a
target
participant
in
the
service.
However,
in
most
cases
transplantation
is
decomposed
in
three
services:
explantation,
transport,
and
implantation.
The
identity
of
the
donor
(recipient)
is
often
irrelevant
for
the
explantation
(implantation)
service.
|
|
3
|
EXPAGNT
|
ExposureAgent
|
Description:
The
entity
playing
the
associated
role
is
the
physical
(including
energy),
chemical
or
biological
substance
that
is
participating
in
the
exposure.
For
example
in
communicable
diseases,
the
associated
playing
entity
is
the
disease
causing
pathogen.
|
|
3
|
EXPART
|
ExposureParticipation
|
Description:Direct
participation
in
an
exposure
act
where
it
is
unknown
that
the
participant
is
the
source
or
subject
of
the
exposure.
If
the
participant
is
known
to
be
the
contact
of
an
exposure
then
the
SBJ
participation
type
should
be
used.
If
the
participant
is
known
to
be
the
source
then
the
EXSRC
participation
type
should
be
used.
|
|
4
|
EXPTRGT
|
ExposureTarget
|
Description:
The
entity
playing
the
associated
role
is
the
target
(contact)
of
exposure.
|
|
4
|
EXSRC
|
ExposureSource
|
Description:The
entity
playing
the
associated
role
is
the
source
of
exposure.
|
|
3
|
PRD
|
product
|
Participant
material
that
is
brought
forth
(produced)
in
the
act
(e.g.,
specimen
in
a
specimen
collection,
access
or
drainage
in
a
placement
service,
medication
package
in
a
dispense
service).
It
does
not
matter
whether
the
material
produced
had
existence
prior
to
the
service,
or
whether
it
is
created
in
the
service
(e.g.,
in
supply
services
the
product
is
taken
from
a
stock).
|
|
3
|
SBJ
|
subject
|
The
principle
target
on
which
the
action
happens.
Examples:
The
patient
in
physical
examination,
a
specimen
in
a
lab
observation.
May
also
be
a
patient's
family
member
(teaching)
or
a
device
or
room
(cleaning,
disinfecting,
housekeeping).
UsageNotes:
Not
all
direct
targets
are
subjects.
Consumables
and
devices
used
as
tools
for
an
act
are
not
subjects.
However,
a
device
may
be
a
subject
of
a
maintenance
action.
|
|
4
|
SPC
|
specimen
|
The
subject
of
non-clinical
(e.g.
laboratory)
observation
services
is
a
specimen.
|
|
2
|
IND
|
indirect
target
|
Target
that
is
not
substantially
present
in
the
act
and
which
is
not
directly
affected
by
the
act,
but
which
will
be
a
focus
of
the
record
or
documentation
of
the
act.
|
|
3
|
BEN
|
beneficiary
|
Target
on
behalf
of
whom
the
service
happens,
but
that
is
not
necessarily
present
in
the
service.
Can
occur
together
with
direct
target
to
indicate
that
a
target
is
both,
as
in
the
case
where
the
patient
is
the
indirect
beneficiary
of
a
service
rendered
to
a
family
member,
e.g.
counseling
or
given
home
care
instructions.
This
concept
includes
a
participant,
such
as
a
covered
party,
who
derives
benefits
from
a
service
act
covered
by
a
coverage
act.
Note
that
the
semantic
role
of
the
intended
recipient
who
benefits
from
the
happening
denoted
by
the
verb
in
the
clause.
Thus,
a
patient
who
has
no
coverage
under
a
policy
or
program
may
be
a
beneficiary
of
a
health
service
while
not
being
the
beneficiary
of
coverage
for
that
service.
|
|
3
|
CAGNT
|
causative
agent
|
Definition:
A
factor,
such
as
a
microorganism,
chemical
substance,
or
form
of
radiation,
whose
presence,
excessive
presence,
or
(in
deficiency
diseases)
relative
absence
is
essential,
in
whole
or
in
part,
for
the
occurrence
of
a
condition.
Constraint:
The
use
of
this
participation
is
limited
to
observations.
|
|
3
|
COV
|
coverage
target
|
The
target
participation
for
an
individual
in
a
health
care
coverage
act
in
which
the
target
role
is
either
the
policy
holder
of
the
coverage,
or
a
covered
party
under
the
coverage.
|
|
3
|
GUAR
|
guarantor
party
|
The
target
person
or
organization
contractually
recognized
by
the
issuer
as
a
participant
who
has
assumed
fiscal
responsibility
for
another
personaTMs
financial
obligations
by
guaranteeing
to
pay
for
amounts
owed
to
a
particular
account
Example:The
subscriber
of
the
patientaTMs
health
insurance
policy
signs
a
contract
with
the
provider
to
be
fiscally
responsible
for
the
patient
billing
account
balance
amount
owed.
|
|
3
|
HLD
|
holder
|
Participant
who
posses
an
instrument
such
as
a
financial
contract
(insurance
policy)
usually
based
on
some
agreement
with
the
author.
|
|
3
|
RCT
|
record
target
|
The
record
target
indicates
whose
medical
record
holds
the
documentation
of
this
act.
This
is
especially
important
when
the
subject
of
a
service
is
not
the
patient
himself.
|
|
3
|
RCV
|
receiver
|
The
person
(or
organization)
who
receives
the
product
of
an
Act.
|
|
2
|
IRCP
|
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.
|
|
3
|
NOT
|
ugent
notification
contact
|
An
information
recipient
to
notify
for
urgent
matters
about
this
Act.
(e.g.,
in
a
laboratory
order,
critical
results
are
being
called
by
phone
right
away,
this
is
the
contact
to
call;
or
for
an
inpatient
encounter,
a
next
of
kin
to
notify
when
the
patient
becomes
critically
ill).
|
|
3
|
PRCP
|
primary
information
recipient
|
Information
recipient
to
whom
an
act
statement
is
primarily
directed.
E.g.,
a
primary
care
provider
receiving
a
discharge
letter
from
a
hospitalist,
a
health
department
receiving
information
on
a
suspected
case
of
infectious
disease.
Multiple
of
these
participations
may
exist
on
the
same
act
without
requiring
that
recipients
be
ranked
as
primary
vs.
secondary.
|
|
3
|
REFB
|
Referred
By
|
A
participant
(e.g.
provider)
who
has
referred
the
subject
of
an
act
(e.g.
patient).
Typically,
a
referred
by
participant
will
provide
a
report
(e.g.
referral).
|
|
3
|
REFT
|
Referred
to
|
The
person
who
receives
the
patient
|
|
3
|
TRC
|
tracker
|
A
secondary
information
recipient,
who
receives
copies
(e.g.,
a
primary
care
provider
receiving
copies
of
results
as
ordered
by
specialist).
|
|
2
|
LOC
|
location
|
The
facility
where
the
service
is
done.
May
be
a
static
building
(or
room
therein)
or
a
moving
location
(e.g.,
ambulance,
helicopter,
aircraft,
train,
truck,
ship,
etc.)
|
|
3
|
DST
|
destination
|
The
destination
for
services.
May
be
a
static
building
(or
room
therein)
or
a
movable
facility
(e.g.,
ship).
|
|
3
|
ELOC
|
entry
location
|
A
location
where
data
about
an
Act
was
entered.
|
|
3
|
ORG
|
origin
|
The
location
of
origin
for
services.
May
be
a
static
building
(or
room
therein)
or
a
movable
facility
(e.g.,
ship).
|
|
3
|
RML
|
remote
|
Some
services
take
place
at
multiple
concurrent
locations
(e.g.,
telemedicine,
telephone
consultation).
The
location
where
the
principal
performing
actor
is
located
is
taken
as
the
primary
location
(LOC)
while
the
other
location(s)
are
considered
"remote."
|
|
3
|
VIA
|
via
|
For
services,
an
intermediate
location
that
specifies
a
path
between
origin
an
destination.
|
|
2
|
PRF
|
performer
|
Definition:
A
person,
non-person
living
subject,
organization
or
device
that
who
actually
and
principally
carries
out
the
action.
Device
should
only
be
assigned
as
a
performer
in
circumstances
where
the
device
is
performing
independent
of
human
intervention.
Need
not
be
the
principal
responsible
actor.
Exampe:
A
surgery
resident
operating
under
supervision
of
attending
surgeon,
a
search
and
rescue
dog
locating
survivors,
an
electronic
laboratory
analyzer
or
the
laboratory
discipline
requested
to
perform
a
laboratory
test.
The
performer
may
also
be
the
patient
in
self-care,
e.g.
fingerstick
blood
sugar.
The
traditional
order
filler
is
a
performer.
This
information
should
accompany
every
service
event.
Note:
that
existing
HL7
designs
assign
an
organization
as
the
playing
entity
of
the
Role
that
is
the
performer.
These
designs
should
be
revised
in
subsequent
releases
to
make
this
the
scooping
entity
for
the
role
involved.
|
|
3
|
DIST
|
distributor
|
Distributes
material
used
in
or
generated
during
the
act.
|
|
3
|
PPRF
|
primary
performer
|
The
principal
or
primary
performer
of
the
act.
|
|
3
|
SPRF
|
secondary
performer
|
A
person
assisting
in
an
act
through
his
substantial
presence
and
involvement
This
includes:
assistants,
technicians,
associates,
or
whatever
the
job
titles
may
be.
|
|
2
|
RESP
|
responsible
party
|
The
person
or
organization
that
has
primary
responsibility
for
the
act.
The
responsible
party
is
not
necessarily
present
in
an
action,
but
is
accountable
for
the
action
through
the
power
to
delegate,
and
the
duty
to
review
actions
with
the
performing
actor
after
the
fact.
This
responsibility
may
be
ethical,
legal,
contractual,
fiscal,
or
fiduciary
in
nature.
Example:
A
person
who
is
the
head
of
a
biochemical
laboratory;
a
sponsor
for
a
policy
or
government
program.
|
|
2
|
VRF
|
verifier
|
A
person
who
verifies
the
correctness
and
appropriateness
of
the
service
(plan,
order,
event,
etc.)
and
hence
takes
on
accountability.
|
|
3
|
AUTHEN
|
authenticator
|
A
verifier
who
attests
to
the
accuracy
of
an
act,
but
who
does
not
have
privileges
to
legally
authenticate
the
act.
An
example
would
be
a
resident
physician
who
sees
a
patient
and
dictates
a
note,
then
later
signs
it.
Their
signature
constitutes
an
authentication.
|
|
3
|
LA
|
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.
|
.
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versions:
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Group
|
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a
change
Terminology