Level
Lvl
|
Code
|
Display
|
Definition
|
|
1
|
ROL
|
role
|
Corresponds
to
the
Role
class
|
|
2
|
(_RoleClassAssociative)
_RoleClassAssociative
|
RoleClassAssociative
|
A
general
association
between
two
entities
that
is
neither
partitive
nor
ontological.
|
|
3
|
(_RoleClassMutualRelationship)
_RoleClassMutualRelationship
|
RoleClassMutualRelationship
|
A
relationship
that
is
based
on
mutual
behavior
of
the
two
Entities
as
being
related.
The
basis
of
such
relationship
may
be
agreements
(e.g.,
(e.g.
spouses,
contract
parties)
or
they
may
be
de
facto
behavior
(e.g.
friends)
or
may
be
an
incidental
involvement
with
each
other
(e.g.
parties
over
a
dispute,
siblings,
children).
|
|
4
|
(_RoleClassRelationshipFormal)
_RoleClassRelationshipFormal
|
RoleClassRelationshipFormal
|
A
relationship
between
two
entities
that
is
formally
recognized,
frequently
by
a
contract
or
similar
agreement.
|
|
5
|
AFFL
AFFL
|
affiliate
|
Player
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
for
resource
scheduling
purposes.
Example:
A
healthcare
provider
is
affiliated
with
another
provider
as
a
business
associate.
|
|
5
|
AGNT
AGNT
|
agent
|
An
entity
(player)
that
acts
or
is
authorized
to
act
on
behalf
of
another
entity
(scoper).
|
|
6
|
ASSIGNED
ASSIGNED
|
assigned
entity
|
An
agent
role
in
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.
|
|
7
|
COMPAR
COMPAR
|
commissioning
party
|
An
Entity
that
is
authorized
to
issue
or
instantiate
permissions,
privileges,
credentials
or
other
formal/legal
authorizations.
|
|
7
|
SGNOFF
SGNOFF
|
signing
authority
or
officer
|
The
role
of
a
person
(player)
who
is
the
officer
or
signature
authority
for
of
a
scoping
entity,
usually
an
organization
(scoper).
|
|
6
|
CON
CON
|
contact
|
A
person
or
an
organization
(player)
which
provides
or
receives
information
regarding
another
entity
(scoper).
Examples;
patient
NOK
and
emergency
contacts;
guarantor
contact;
employer
contact.
|
|
7
|
ECON
ECON
|
emergency
contact
|
An
entity
to
be
contacted
in
the
event
of
an
emergency.
|
|
7
|
NOK
NOK
|
next
of
kin
|
An
individual
designated
for
notification
as
the
next
of
kin
for
a
given
entity.
|
|
6
|
GUARD
GUARD
|
guardian
|
Guardian
of
a
ward
|
|
5
|
CIT
CIT
|
citizen
|
Citizen
of
apolitical
entity
|
|
5
|
COVPTY
COVPTY
|
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.
|
|
6
|
CLAIM
CLAIM
|
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
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.,
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.,
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.
|
|
6
|
NAMED
NAMED
|
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.,
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.,
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.,
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.
|
|
7
|
DEPEN
DEPEN
|
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.,
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.
|
|
7
|
INDIV
INDIV
|
individual
|
Description:
A
role
played
by
a
party
covered
under
a
policy
as
the
policy
holder.
An
individual
may
be
either
a
person
or
an
organization.
Note:
The
party
playing
the
role
of
an
individual
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
if
injured
in
an
automobile
accident
and
there
is
no
liable
third
party.
In
the
case
of
an
individual
insured
making
a
claim,
a
role
type
code
INSCLM
(insured
claimant)
subtypes
the
class
to
indicate
that
an
individual
insured
has
filed
a
claim
for
a
loss.
Example:
The
individual
insured
under
a
comprehensive
automobile,
disability,
or
property
and
casualty
policy
that
is
the
policy
holder.
|
|
7
|
SUBSCR
SUBSCR
|
subscriber
|
Description:
A
role
played
by
a
person
covered
under
a
policy
based
on
association
with
a
sponsor
who
is
the
policy
holder,
and
whose
association
may
provide
for
the
eligibility
of
dependents
for
coverage.
Discussion:
The
policy
holder
holds
the
contract
with
the
policy
or
program
underwriter.
The
subscriber
holds
a
certificate
of
coverage
under
the
contract.
In
legal
proceedings
concerning
the
policy
or
program,
the
terms
of
the
contract
takes
precedence
over
the
terms
of
the
certificate
of
coverage
if
there
are
any
inconsistencies.
Note:
The
party
playing
the
role
of
a
subscriber
is
not
a
claimant
in
the
sense
conveyed
by
the
RoleClassCoveredParty
CLAIM
(claimant).
However,
a
subscriber
may
make
a
claim
under
a
policy,
e.g.,
e.g.
a
subscriber
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
subscriber
making
a
claim,
a
role
type
code
INSCLM
(insured
claimant)
subtypes
the
class
to
indicate
that
the
subscriber
has
filed
a
claim
for
services
covered
under
the
health
insurance
policy.
Example:
An
employee
or
a
member
of
an
association.
|
|
6
|
PROG
PROG
|
program
eligible
|
Description:
A
role
played
by
a
party
that
meets
the
eligibility
criteria
for
coverage
under
a
program.
A
program
eligible
may
be
either
a
person,
non-person
living
subject,
or
an
organization,
or
a
group
of
persons,
non-person
living
subjects,
or
organizations.
Discussion:
A
program
as
typically
government
administered
coverage
for
parties
determined
eligible
under
the
terms
of
the
program.
Note:
The
party
playing
a
program
eligible
is
not
a
claimant
in
the
sense
conveyed
by
the
RoleClassCoveredParty
CLAIM
(claimant).
However
a
program
eligible
may
make
a
claim
under
program,
e.g.,
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
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
party
meeting
eligibility
criteria
related
to
health
or
financial
status,
e.g.,
e.g.
in
the
U.S.,
persons
meeting
health,
demographic,
or
financial
criteria
established
by
state
and
federal
law
are
eligible
for
Medicaid.
|
|
5
|
CRINV
CRINV
|
clinical
research
investigator
|
A
role
played
by
a
provider,
always
a
person,
who
has
agency
authority
from
a
Clinical
Research
Sponsor
to
direct
the
conduct
of
a
clinical
research
trial
or
study
on
behalf
of
the
sponsor.
|
|
5
|
CRSPNSR
CRSPNSR
|
clinical
research
sponsor
|
A
role
played
by
an
entity,
usually
an
organization,
that
is
the
sponsor
of
a
clinical
research
trial
or
study.
The
sponsor
commissions
the
study,
bears
the
expenses,
is
responsible
for
satisfying
all
legal
requirements
concerning
subject
safety
and
privacy,
and
is
generally
responsible
for
collection,
storage
and
analysis
of
the
data
generated
during
the
trial.
No
scoper
is
necessary,
as
a
clinical
research
sponsor
undertakes
the
role
on
its
own
authority
and
declaration.
Clinical
research
sponsors
are
usually
educational
or
other
research
organizations,
government
agencies
or
biopharmaceutical
companies.
|
|
5
|
EMP
EMP
|
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.)
|
|
6
|
MIL
MIL
|
military
person
|
A
role
played
by
a
member
of
a
military
service.
Scoper
is
the
military
service
(e.g.
Army,
Navy,
Air
Force,
etc.)
or,
more
specifically,
the
unit
(e.g.
Company
C,
3rd
Battalion,
4th
Division,
etc.)
|
|
5
|
GUAR
GUAR
|
guarantor
|
A
person
or
organization
(player)
that
serves
as
a
financial
guarantor
for
another
person
or
organization
(scoper).
|
|
5
|
INVSBJ
INVSBJ
|
Investigation
Subject
|
An
entity
that
is
the
subject
of
an
investigation.
This
role
is
scoped
by
the
party
responsible
for
the
investigation.
|
|
6
|
CASEBJ
CASEBJ
|
Case
Subject
|
A
person,
non-person
living
subject,
or
place
that
is
the
subject
of
an
investigation
related
to
a
notifiable
condition
(health
circumstance
that
is
reportable
within
the
applicable
public
health
jurisdiction)
|
|
6
|
RESBJ
RESBJ
|
research
subject
|
Definition:Specifies
the
administrative
functionality
within
a
formal
experimental
design
for
which
the
ResearchSubject
role
was
established.
Examples:
Screening
-
role
is
used
for
pre-enrollment
evaluation
portion
of
the
design;
enrolled
-
role
is
used
for
subjects
admitted
to
the
experimental
portion
of
the
design.
|
|
5
|
LIC
LIC
|
licensed
entity
|
A
relationship
in
which
the
scoper
certifies
the
player
(
e.
g.
a
medical
care
giver,
a
medical
device
or
a
provider
organization)
to
perform
certain
activities
that
fall
under
the
jurisdiction
of
the
scoper
(e.g.,
(e.g.
a
health
authority
licensing
healthcare
providers,
a
medical
quality
authority
certifying
healthcare
professionals).
|
|
6
|
NOT
NOT
|
notary
public
|
notary
public
|
|
6
|
PROV
PROV
|
healthcare
provider
|
An
Entity
(player)
that
is
authorized
to
provide
health
care
services
by
some
authorizing
agency
(scoper).
|
|
5
|
PAT
PAT
|
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.
|
|
5
|
PAYEE
PAYEE
|
payee
|
The
role
of
an
organization
or
individual
designated
to
receive
payment
for
a
claim
against
a
particular
coverage.
The
scoping
entity
is
the
organization
that
is
the
submitter
of
the
invoice
in
question.
|
|
5
|
PAYOR
PAYOR
|
invoice
payor
|
The
role
of
an
organization
that
undertakes
to
accept
claims
invoices,
assess
the
coverage
or
payments
due
for
those
invoices
and
pay
to
the
designated
payees
for
those
invoices.
This
role
may
be
either
the
underwriter
or
a
third-party
organization
authorized
by
the
underwriter.
The
scoping
entity
is
the
organization
that
underwrites
the
claimed
coverage.
|
|
5
|
POLHOLD
POLHOLD
|
policy
holder
|
A
role
played
by
a
person
or
organization
that
holds
an
insurance
policy.
The
underwriter
of
that
policy
is
the
scoping
entity.
Discussion:The
identifier
of
the
policy
is
captured
in
'Role.id'
when
the
Role
is
a
policy
holder.
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.
|
|
5
|
QUAL
QUAL
|
qualified
entity
|
An
entity
(player)
that
has
been
recognized
as
having
certain
training/experience
or
other
characteristics
that
would
make
said
entity
an
appropriate
performer
for
a
certain
activity.
The
scoper
is
an
organization
that
educates
or
qualifies
entities.
|
|
5
|
SPNSR
SPNSR
|
coverage
sponsor
|
A
role
played
by
an
entity,
usually
an
organization
that
is
the
sponsor
of
an
insurance
plan
or
a
health
program.
A
sponsor
is
the
party
that
is
ultimately
accountable
for
the
coverage
by
employment
contract
or
by
law.
A
sponsor
can
be
an
employer,
union,
government
agency,
or
association.
Fully
insured
sponsors
establish
the
terms
of
the
plan
and
contract
with
health
insurance
plans
to
assume
the
risk
and
to
administer
the
plan.
Self-insured
sponsors
delegate
coverage
administration,
but
not
risk,
to
third-party
administrators.
Program
sponsors
designate
services
to
be
covered
in
accordance
with
statute.
Program
sponsors
may
administer
the
coverage
themselves,
delegate
coverage
administration,
but
not
risk
to
third-party
administrators,
or
contract
with
health
insurance
plans
to
assume
the
risk
and
administrator
a
program.
Sponsors
qualify
individuals
who
may
become
a
policy
holder
of
the
plan;
where
the
sponsor
is
the
policy
holder,
who
may
become
a
subscriber
or
a
dependent
to
a
policy
under
the
plan;
or
where
the
sponsor
is
a
government
agency,
who
may
become
program
eligibles
under
a
program.
The
sponsor
role
may
be
further
qualified
by
the
SponsorRole.code.
Entities
playing
the
sponsor
role
may
also
play
the
role
of
a
Coverage
Administrator.
Example:
An
employer,
union,
government
agency,
or
association.
|
|
5
|
STD
STD
|
student
|
A
role
played
by
an
individual
who
is
a
student
of
a
school,
which
is
the
scoping
entity.
|
|
5
|
UNDWRT
UNDWRT
|
underwriter
|
A
role
played
by
a
person
or
an
organization.
It
is
the
party
that
accepts
fiscal
responsibility
for
insurance
plans
and
the
policies
created
under
those
plans;
administers
and
accepts
fiscal
responsibility
for
a
program
that
provides
coverage
for
services
to
eligible
individuals;
and/or
has
the
responsibility
to
assess
the
merits
of
each
risk
and
decide
a
suitable
premium
for
accepting
all
or
part
of
the
risk.
If
played
by
an
organization,
this
role
may
be
further
specified
by
an
appropriate
RoleCode.
Example:
A
health
insurer;
Medicaid
Program;
Lloyd's
of
London
|
|
4
|
CAREGIVER
CAREGIVER
|
caregiver
|
A
person
responsible
for
the
primary
care
of
a
patient
at
home.
|
|
4
|
PRS
PRS
|
personal
relationship
|
Links
two
entities
with
classCode
PSN
(person)
in
a
personal
relationship.
The
character
of
the
relationship
must
be
defined
by
a
PersonalRelationshipRoleType
code.
The
player
and
scoper
are
determined
by
PersonalRelationshipRoleType
code
as
well.
|
3
4
|
SELF
(_RoleClassPassive)
|
self
|
The
"same"
roleclass
asserts
an
identity
between
playing
and
scoping
entities:
that
they
are
in
fact
instances
of
the
same
entity
and,
in
the
case
of
discrepancies
(e.g.
different
DOB,
gender),
that
one
or
both
are
in
error.
Usage:
playing
and
scoping
entities
must
have
same
classcode,
but
need
not
have
identical
attributes
or
values.
Example:
a
provider
registry
maintains
sets
of
conflicting
demographic
data
for
what
is
reported
to
be
the
same
individual.
|
|
3
|
_RoleClassPassive
|
RoleClassPassive
|
An
association
for
a
playing
Entity
that
is
used,
known,
treated,
handled,
built,
or
destroyed,
etc.
under
the
auspices
of
the
scoping
Entity.
The
playing
Entity
is
passive
in
these
roles
(even
though
it
may
be
active
in
other
roles),
in
the
sense
that
the
kinds
of
things
done
to
it
in
this
role
happen
without
an
agreement
from
the
playing
Entity.
|
|
4
|
ACCESS
ACCESS
|
access
|
A
role
in
which
the
playing
entity
(material)
provides
access
to
another
entity.
The
principal
use
case
is
intravenous
(or
other
bodily)
access
lines
that
preexist
and
need
to
be
referred
to
for
medication
routing
instructions.
|
|
4
|
ADJY
ADJY
|
adjacency
|
A
physical
association
whereby
two
Entities
are
in
some
(even
lose)
spatial
relationship
with
each
other
such
that
they
touch
each
other
in
some
way.
Examples:
the
colon
is
connected
(and
therefore
adjacent)
to
the
jejunum;
the
colon
is
adjacent
to
the
liver
(even
if
not
actually
connected.)
UsageConstraints:
Adjacency
is
in
principle
a
symmetrical
connection,
but
scoper
and
player
of
the
role
should,
where
applicable,
be
assigned
to
have
scoper
be
the
larger,
more
central
Entity
and
player
the
smaller,
more
distant,
appendage.
|
|
5
|
CONC
CONC
|
connection
|
An
adjacency
of
two
Entities
held
together
by
a
bond
which
attaches
to
each
of
the
two
entities.
Examples:
biceps
brachii
muscle
connected
to
the
radius
bone,
port
3
on
a
network
switch
connected
to
port
5
on
a
patch
panel.
UsageConstraints:
See
Adjacency
for
the
assignment
of
scoper
(larger,
more
central)
and
player
(smaller,
more
distant).
|
|
6
|
BOND
BOND
|
molecular
bond
|
A
connection
between
two
atoms
of
a
molecule.
Examples:
double
bond
between
first
and
second
C
in
ethane,
peptide
bond
between
two
amino-acid,
disulfide
bridge
between
two
proteins,
chelate
and
ion
associations,
even
the
much
weaker
van-der-Waals
bonds
can
be
considered
molecular
bonds.
UsageConstraints:
See
connection
and
adjacency
for
the
assignment
of
player
and
scoper.
|
|
6
|
CONY
CONY
|
continuity
|
A
connection
between
two
regional
parts.
Examples:
the
connection
between
ascending
aorta
and
the
aortic
arc,
connection
between
descending
colon
and
sigmoid.
UsageConstraints:
See
connection
and
adjacency
for
the
assignment
of
player
and
scoper.
|
|
4
|
ADMM
ADMM
|
Administerable
Material
|
A
material
(player)
that
can
be
administered
to
an
Entity
(scoper).
|
|
4
|
BIRTHPL
BIRTHPL
|
birthplace
|
Relates
a
place
(playing
Entity)
as
the
location
where
a
living
subject
(scoping
Entity)
was
born.
|
|
4
|
DEATHPLC
DEATHPLC
|
place
of
death
|
Definition:
Relates
a
place
(playing
Entity)
as
the
location
where
a
living
subject
(scoping
Entity)
died.
|
|
4
|
DST
DST
|
distributed
material
|
A
material
(player)
distributed
by
a
distributor
(scoper)
who
functions
between
a
manufacturer
and
a
buyer
or
retailer.
|
|
5
|
RET
RET
|
retailed
material
|
Material
(player)
sold
by
a
retailer
(scoper),
who
also
give
advice
to
prospective
buyers.
|
|
4
|
EXLOC
EXLOC
|
event
location
|
A
role
played
by
a
place
at
which
the
location
of
an
event
may
be
recorded.
|
|
5
|
SDLOC
SDLOC
|
service
delivery
location
|
A
role
played
by
a
place
at
which
services
may
be
provided.
|
|
6
|
DSDLOC
DSDLOC
|
dedicated
service
delivery
location
|
A
role
of
a
place
(player)
that
is
intended
to
house
the
provision
of
services.
Scoper
is
the
Entity
(typically
Organization)
that
provides
these
services.
This
is
not
synonymous
with
"ownership."
|
|
6
|
ISDLOC
ISDLOC
|
incidental
service
delivery
location
|
A
role
played
by
a
place
at
which
health
care
services
may
be
provided
without
prior
designation
or
authorization.
|
|
4
|
EXPR
EXPR
|
exposed
entity
|
A
role
played
by
an
entity
that
has
been
exposed
to
a
person
or
animal
suffering
a
contagious
disease,
or
with
a
location
from
which
a
toxin
has
been
distributed.
The
player
of
the
role
is
normally
a
person
or
animal,
but
it
is
possible
that
other
entity
types
could
become
exposed.
The
role
is
scoped
by
the
source
of
the
exposure,
and
it
is
quite
possible
for
a
person
playing
the
role
of
exposed
party
to
also
become
the
scoper
a
role
played
by
another
person.
That
is
to
say,
once
a
person
has
become
infected,
it
is
possible,
perhaps
likely,
for
that
person
to
infect
others.
Management
of
exposures
and
tracking
exposed
parties
is
a
key
function
within
public
health,
and
within
most
public
health
contexts
-
exposed
parties
are
known
as
"contacts."
|
|
4
|
HLD
HLD
|
held
entity
|
Entity
that
is
currently
in
the
possession
of
a
holder
(scoper),
who
holds,
or
uses
it,
usually
based
on
some
agreement
with
the
owner.
|
|
4
|
HLTHCHRT
HLTHCHRT
|
health
chart
|
The
role
of
a
material
(player)
that
is
the
physical
health
chart
belonging
to
an
organization
(scoper).
|
|
4
|
IDENT
IDENT
|
identified
entity
|
A
role
in
which
the
scoping
entity
designates
an
identifier
for
a
playing
entity.
|
|
4
|
MANU
MANU
|
manufactured
product
|
Scoped
by
the
manufacturer
|
|
5
|
THER
THER
|
therapeutic
agent
|
A
manufactured
material
(player)
that
is
used
for
its
therapeutic
properties.
The
manufacturer
is
the
scoper.
|
|
4
|
MNT
MNT
|
maintained
entity
|
An
entity
(player)
that
is
maintained
by
another
entity
(scoper).
This
is
typical
role
held
by
durable
equipment.
The
scoper
assumes
responsibility
for
proper
operation,
quality,
and
safety.
|
|
4
|
OWN
OWN
|
owned
entity
|
An
Entity
(player)
for
which
someone
(scoper)
is
granted
by
law
the
right
to
call
the
material
(player)
his
own.
This
entitles
the
scoper
to
make
decisions
about
the
disposition
of
that
material.
|
|
4
|
RGPR
RGPR
|
regulated
product
|
A
product
regulated
by
some
governmentatl
orgnization.
The
role
is
played
by
Material
and
scoped
by
Organization.
Rationale:
To
support
an
entity
clone
used
to
identify
the
NDC
number
for
a
drug
product.
|
|
4
|
TERR
TERR
|
territory
of
authority
|
Relates
a
place
entity
(player)
as
the
region
over
which
the
scoper
(typically
an
Organization)
has
certain
authority
(jurisdiction).
For
example,
the
Calgary
Regional
Health
Authority
(scoper)
has
authority
over
the
territory
"Region
4
of
Alberta"
(player)
in
matters
of
health.
|
|
4
|
USED
USED
|
used
entity
|
Description:An
entity
(player)
that
is
used
by
another
entity
(scoper)
|
|
4
|
WRTE
WRTE
|
warranted
product
|
A
role
a
product
plays
when
a
guarantee
is
given
to
the
purchaser
by
the
seller
(scoping
entity)
stating
that
the
product
is
reliable
and
free
from
known
defects
and
that
the
seller
will
repair
or
replace
defective
parts
within
a
given
time
limit
and
under
certain
conditions.
|
|
2
|
(_RoleClassOntological)
_RoleClassOntological
|
RoleClassOntological
|
A
relationship
in
which
the
scoping
Entity
defines
or
specifies
what
the
playing
Entity
is.
Thus,
the
player's
"being"
(Greek:
ontos)
is
specified.
|
|
3
|
EQUIV
EQUIV
|
equivalent
entity
|
Description:
Specifies
the
player
Entity
(the
equivalent
Entity)
as
an
Entity
that
is
considered
to
be
equivalent
to
a
reference
Entity
(scoper).
The
equivalence
is
in
principle
a
symmetric
relationship,
however,
it
is
expected
that
the
scoper
is
a
reference
entity
which
serves
as
reference
entity
for
multiple
different
equivalent
entities.
Examples:
An
innovator's
medicine
formulation
is
the
reference
for
"generics",
i.e.,
formulations
manufactured
differently
but
having
been
proven
to
be
biologically
equivalent
to
the
reference
medicine.
Another
example
is
a
reference
ingredient
that
serves
as
basis
for
quantity
specifications
(basis
of
strength,
e.g.,
e.g.
metoprolol
succinate
specified
in
terms
of
metoprolol
tartrate.)
|
|
4
|
SAME
SAME
|
same
|
The
"same"
role
asserts
an
identity
between
playing
and
scoping
entities,
i.e.,
that
they
are
in
fact
two
records
of
the
same
entity
instance,
and,
in
the
case
of
discrepancies
(e.g
(e.g.
different
DOB,
gender),
that
one
or
both
are
in
error.
Usage:
playing
and
scoping
entities
must
have
same
classCode,
but
need
not
have
identical
attributes
or
values.
Example:
a
provider
registry
maintains
sets
of
conflicting
demographic
data
for
what
is
reported
to
be
the
same
individual.
|
|
4
|
SUBY
SUBY
|
subsumed
by
|
Relates
a
prevailing
record
of
an
Entity
(scoper)
with
another
record
(player)
that
it
subsumes.
Examples:
Show
a
correct
new
Person
object
(scoper)
that
subsumes
one
or
more
duplicate
Person
objects
that
had
accidentally
been
created
for
the
same
physical
person.
Constraints:
Both
the
player
and
scoper
must
have
the
same
classCode.
|
|
3
|
GEN
GEN
|
has
generalization
|
Relates
a
specialized
material
concept
(player)
to
its
generalization
(scoper).
|
|
4
|
GRIC
GRIC
|
has
generic
|
A
special
link
between
pharmaceuticals
indicating
that
the
target
(scoper)
is
a
generic
for
the
source
(player).
|
|
3
|
INST
INST
|
instance
|
An
individual
piece
of
material
(player)
instantiating
a
class
of
material
(scoper).
|
2
3
|
SUBS
(_RoleClassPartitive)
|
subsumer
|
An
entity
that
subsumes
the
identity
of
another.
Used
in
the
context
of
merging
documented
entity
instances.
Both
the
player
and
scoper
must
have
the
same
classCode.
The
use
of
this
code
is
deprecated
in
favor
of
the
term
SUBY
which
is
its
inverse
and
is
more
ontologically
correct.
|
|
2
|
_RoleClassPartitive
|
RoleClassPartitive
|
An
association
between
two
Entities
where
the
playing
Entity
is
considered
in
some
way
"part"
of
the
scoping
Entity,
e.g.,
e.g.
as
a
member,
component,
ingredient,
or
content.
Being
"part"
in
the
broadest
sense
of
the
word
can
mean
anything
from
being
an
integral
structural
component
to
a
mere
incidental
temporary
association
of
a
playing
Entity
with
a
(generally
larger)
scoping
Entity.
|
|
3
|
CONT
CONT
|
content
|
Relates
a
material
as
the
content
(player)
to
a
container
(scoper).
Unlike
ingredients,
the
content
and
a
container
remain
separate
(not
mixed)
and
the
content
can
be
removed
from
the
container.
A
content
is
not
part
of
an
empty
container.
|
|
3
|
EXPAGTCAR
EXPAGTCAR
|
exposure
agent
carrier
|
An
exposure
agent
carrier
is
an
entity
that
is
capable
of
conveying
an
exposure
agent
from
one
entity
to
another.
The
scoper
of
the
role
must
be
the
exposure
agent
(e.g.,
(e.g.
pathogen).
|
|
4
|
EXPVECTOR
EXPVECTOR
|
exposure
vector
|
Description:
A
vector
is
a
living
subject
that
carries
an
exposure
agent.
The
vector
does
not
cause
the
disease
itself,
but
exposes
targets
to
the
exposure
agent.
A
mosquito
carrying
malaria
is
an
example
of
a
vector.
The
scoper
of
the
role
must
be
the
exposure
agent
(e.g.,
(e.g.
pathogen).
|
|
4
|
FOMITE
FOMITE
|
fomite
|
Description:
A
fomite
is
a
non-living
entity
that
is
capable
of
conveying
exposure
agent
from
one
entity
to
another.
A
doorknob
contaminated
with
a
Norovirus
is
an
example
of
a
fomite.
Anyone
touching
the
doorknob
would
be
exposed
to
the
virus.
The
scoper
of
the
role
must
be
the
exposure
agent
(e.g.,
(e.g.
pathogen).
|
|
3
|
INGR
INGR
|
ingredient
|
Relates
a
component
(player)
to
a
mixture
(scoper).
E.g.,
(scoper);
e.g.
Glucose
and
Water
are
ingredients
of
D5W,
latex
may
be
an
ingredient
in
a
tracheal
tube.
|
|
4
|
ACTI
ACTI
|
active
ingredient
|
Definition:
a
therapeutically
active
ingredient
(player)
in
a
mixture
(scoper),
where
the
mixture
is
typically
a
manufactured
pharmaceutical.
It
is
unknown
if
the
quantity
of
such
an
ingredient
is
expressed
precisely
in
terms
of
the
playing
ingredient
substance,
or,
if
it
is
specified
in
terms
of
a
closely
related
substance
(active
moiety
or
reference
substance).
|
|
5
|
ACTIB
ACTIB
|
active
ingredient
-
basis
of
strength
|
Description:
Active
ingredient,
where
the
ingredient
substance
(player)
is
itself
the
"basis
of
strength",
i.e.,
where
the
Role.quantity
specifies
exactly
the
quantity
of
the
player
substance
in
the
medicine
formulation.
Examples:
Lopressor
50
mg
actually
contains
50
mg
of
metoprolol
succinate,
even
though
the
active
moiety
is
metoprolol,
but
also:
Tenormin
50
mg
contain
50
mg
of
atenolol,
as
free
base,
i.e.,
where
the
active
ingredient
atenolol
is
also
the
active
moiety.
|
|
5
|
ACTIM
ACTIM
|
active
ingredient
-
moiety
is
basis
of
strength
|
Description:
Active
ingredient,
where
not
the
ingredient
substance
(player),
but
itaTMs
active
moiety
is
the
"basis
of
strength",
i.e.,
where
the
Role.quantity
specifies
the
quantity
of
the
player
substance's
active
moiety
in
the
medicine
formulation.
Examples:
1
mL
of
Betopic
5mg/mL
eye
drops
contains
5.6
mg
betaxolol
hydrochloride
equivalent
to
betaxolol
base
5
mg.
|
|
5
|
ACTIR
ACTIR
|
active
ingredient
-
reference
substance
is
basis
of
strength
|
Description:
Active
ingredient,
where
not
the
ingredient
substance
(player)
but
another
reference
substance
with
the
same
active
moiety,
is
the
"basis
of
strength",
i.e.,
where
the
Role.quantity
specifies
the
quantity
of
a
reference
substance,
similar
but
different
from
the
player
substance's
in
the
medicine
formulation.
Examples:
Toprol-XL
50
mg
contains
47.5
mg
of
metoprolol
succinate
equivalent
to
50
mg
of
metoprolol
tartrate.
|
|
4
|
ADJV
ADJV
|
adjuvant
|
A
component
(player)
added
to
enhance
the
action
of
an
active
ingredient
(scoper)
(in
the
manner
of
a
catalyst)
but
which
has
no
active
effect
in
and
of
itself.
Such
ingredients
are
significant
in
defining
equivalence
of
products
in
a
way
that
inactive
ingredients
are
not.
|
|
4
|
ADTV
ADTV
|
additive
|
An
ingredient
(player)
that
is
added
to
a
base
(scoper),
that
amounts
to
a
minor
part
of
the
overall
mixture.
|
|
4
|
BASE
BASE
|
base
|
A
base
ingredient
(player)
is
what
comprises
the
major
part
of
a
mixture
(scoper).
E.g.,
(scoper);
e.g.
Water
in
most
i.v.
solutions,
or
Vaseline
in
salves.
Among
all
ingredients
of
a
material,
there
should
be
only
one
base.
A
base
substance
can,
in
turn,
be
a
mixture.
|
|
4
|
CNTM
CNTM
|
contaminant
ingredient
|
An
ingredient
whose
presence
is
not
intended
but
may
not
be
reasonably
avoided
given
the
circumstances
of
the
mixture's
nature
or
origin.
|
|
4
|
IACT
IACT
|
inactive
ingredient
|
An
ingredient
which
is
not
considered
therapeutically
active,
e.g.,
e.g.
colors,
flavors,
stabilizers,
or
preservatives,
fillers,
or
structural
components
added
to
an
active
ingredient
in
order
to
facilitate
administration
of
the
active
ingredient
but
without
being
considered
therapeutically
active.
An
inactive
ingredient
need
not
be
biologically
inert,
e.g.,
e.g.
might
be
active
as
an
allergen
or
might
have
a
pleasant
taste,
but
is
not
an
essential
constituent
delivering
the
therapeutic
effect.
|
|
5
|
COLR
COLR
|
color
additive
|
A
substance
(player)
influencing
the
optical
aspect
of
material
(scoper).
|
|
5
|
FLVR
FLVR
|
flavor
additive
|
A
substance
(player)
added
to
a
mixture
(scoper)
to
make
it
taste
a
certain
way.
In
food
the
use
is
obvious,
in
pharmaceuticals
flavors
can
hide
disgusting
taste
of
the
active
ingredient
(important
in
pediatric
treatments).
|
|
5
|
PRSV
PRSV
|
preservative
|
A
substance
(player)
added
to
a
mixture
(scoper)
to
prevent
microorganisms
(fungi,
bacteria)
to
spoil
the
mixture.
|
|
5
|
STBL
STBL
|
stabilizer
|
A
stabilizer
(player)
added
to
a
mixture
(scoper)
in
order
to
prevent
the
molecular
disintegration
of
the
main
substance.
|
|
4
|
MECH
MECH
|
mechanical
ingredient
|
An
ingredient
(player)
of
a
medication
(scoper)
that
is
inseparable
from
the
active
ingredients,
but
has
no
intended
chemical
or
pharmaceutical
effect
itself,
but
which
may
have
some
systemic
effect
on
the
patient.
An
example
is
a
collagen
matrix
used
as
a
base
for
transplanting
skin
cells.
The
collagen
matrix
can
be
left
permanently
in
the
graft
site.
Because
it
is
of
bovine
origin,
the
patient
may
exhibit
allergies
or
may
have
cultural
objections
to
its
use.
|
|
3
|
LOCE
LOCE
|
located
entity
|
Relates
an
entity
(player)
to
a
location
(scoper)
at
which
it
is
present
in
some
way.
This
presence
may
be
limited
in
time.
|
|
4
|
STOR
STOR
|
stored
entity
|
Relates
an
entity
(player)
(e.g.
a
device)
to
a
location
(scoper)
at
which
it
is
normally
found
or
stored
when
not
used.
|
|
3
|
MBR
MBR
|
member
|
A
role
played
by
an
entity
that
is
a
member
of
a
group.
The
group
provides
the
scope
for
this
role.
Among
other
uses,
groups
as
used
in
insurance
(groups
of
covered
individuals)
and
in
scheduling
where
resources
may
be
grouped
for
scheduling
and
logistical
purposes.
|
|
3
|
PART
PART
|
part
|
Definition:
an
association
between
two
Entities
where
the
playing
Entity
(the
part)
is
a
component
of
the
whole
(scoper)
in
the
sense
of
an
integral
structural
component,
that
is
distinct
from
other
parts
in
the
same
whole,
has
a
distinct
function
in
the
whole,
and,
as
an
effect,
the
full
integrity
of
the
whole
depends
(to
some
degree)
on
the
presence
of
this
part,
even
though
the
part
may
often
be
separable
from
the
whole.
Discussion:
Part
is
defined
in
opposition
to
(a)
ingredient
(not
separable),
(b)
content
(not
a
functional
component),
and
(c)
member
(not
functionally
distinct
from
other
members).
|
|
4
|
ACTM
ACTM
|
active
moiety
|
The
molecule
or
ion
that
is
responsible
for
the
intended
pharmacological
action
of
the
drug
substance,
excluding
those
appended
or
associated
parts
of
the
molecule
that
make
the
molecule
an
ester,
salt
(including
a
salt
with
hydrogen
or
coordination
bonds),
or
other
noncovalent
derivative
(such
as
a
complex,
chelate,
or
clathrate).
Examples:
heparin-sodium
and
heparin-potassium
have
the
same
active
moiety,
heparin;
the
active
moiety
of
morphine-hydrochloride
is
morphine.
|
|
3
|
SPEC
SPEC
|
specimen
|
A
role
played
by
a
material
entity
that
is
a
specimen
for
an
act.
It
is
scoped
by
the
source
of
the
specimen.
|
|
4
|
ALQT
ALQT
|
aliquot
|
A
portion
(player)
of
an
original
or
source
specimen
(scoper)
used
for
testing
or
transportation.
|
|
4
|
ISLT
ISLT
|
isolate
|
A
microorganism
that
has
been
isolated
from
other
microorganisms
or
a
source
matrix.
|
|
1
|
CHILD
|
child
|
The
player
of
the
role
is
a
child
of
the
scoping
entity,
in
a
generic
sense.
|
|
1
|
CRED
|
credentialed
entity
|
A
role
played
by
an
entity
that
receives
credentials
from
the
scoping
entity.
|
|
1
|
NURPRAC
|
nurse
practitioner
|
nurse
practitioner
|
|
1
|
NURS
|
nurse
|
nurse
|
|
1
|
PA
|
physician
assistant
|
physician
assistant
|
|
1
|
PHYS
|
physician
|
physician
|