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ActCode A code specifying the particular kind of Act that the Act-instance represents within its class. Constraints: The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc. Conceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure. Act.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code "potassium" together with and Act.classCode for "laboratory observation" to somehow mean "potassium laboratory observation" and then use the same Act.code for "potassium" together with Act.classCode for "medication" to mean "substitution of potassium". This mutually modifying use of Act.code and Act.classCode is not permitted.
Lvl | Type, Domain name and/or Mnemonic code | Concept ID | Mnemonic | Print Name | Definition/Description
--- | --- | --- | --- | --- | ---
1 | A: ActClaimAttachmentCode | A19672 |  |  |
1 | A: ActCognitiveProfessionalServiceCode | A19706 |  |  | Denotes the specific service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. Professional services are generally cognitive in nature and exclude surgical procedures. E.g. Provided training, Provided drug therapy review, Gave smoking-cessation counseling, etc.
1 | A: ActInformationCategoryCode | A19752 |  |  | Definition:Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.
2 | L: (ALLGCAT) | C21614 | ALLGCAT | allergy category | Definition:All information pertaining to a patient's allergy and intolerance records.
2 | L: (COBSCAT) | C21617 | COBSCAT | common observation category | Definition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).
2 | L: (DEMOCAT) | C21618 | DEMOCAT | demographics category | Definition:All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).
2 | L: (DICAT) | C21613 | DICAT | diagnostic image category | Definition:All information pertaining to a patient's diagnostic image records (orders & results).
2 | L: (IMMUCAT) | C21619 | IMMUCAT | immunization category | Definition:All information pertaining to a patient's vaccination records.
2 | L: (LABCAT) | C21611 | LABCAT | lab test category | Definition:
2 | L: (MEDCCAT) | C21616 | MEDCCAT | medical condition category | Definition:All information pertaining to a patient's medical condition records.
2 | L: (RXCAT) | C21612 | RXCAT | medication category | Definition:All information pertaining to a patient's medication records (orders, dispenses and other active medications).
2 | L: (PSVCCAT) | C21615 | PSVCCAT | professional service category | Definition:All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).
1 | A: ActInjuryCode | A19669 |  |  |
1 | A: ActInvoicePaymentCode | A19673 |  |  |
2 | L: (BONUS) | C20058 | BONUS | bonus | Bonus payments based on performance, volume, etc. as agreed to by the payor.
2 | L: (CFWD) | C20068 | CFWD | carry forward adjusment | An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.
2 | L: (EPYMT) | C20065 | EPYMT | early payment fee | Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.
2 | L: (EDU) | C20059 | EDU | education fees | Fees deducted on behalf of a payee for tuition and continuing education.
2 | L: (GARN) | C20066 | GARN | garnishee | Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
2 | L: (PINV) | C20067 | PINV | paper invoice | Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.
2 | L: (PPRD) | C20069 | PPRD | prior period adjustment | An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice
2 | L: (PROA) | C20060 | PROA | professional association deduction | Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association
2 | L: (RECOV) | C20061 | RECOV | recovery | Retroactive adjustment such as fee rate adjustment due to contract negotiations.
2 | L: (RETRO) | C20062 | RETRO | retro adjustment | Bonus payments based on performance, volume, etc. as agreed to by the payor.
2 | L: (INVOICE) | C20063 | INVOICE | submitted invoice | Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..
2 | L: (TRAN) | C20064 | TRAN | transaction fee | Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
1 | A: ActTransportationModeCode | A19732 |  |  | Characterizes how a transportation act was or will be carried out. Examples: Via private transport, via public transit, via courier.
2 | A: ActPatientTransportationModeCode | A19733 |  |  | Definition: Characterizes how a patient was or will be transported to the site of a patient encounter. Examples: Via ambulance, via public transit, on foot.
3 | S: Ambulance (AMBT) | S21547 | AMBT | ambulance transport |
4 | L: (AMBAIR) | C21554 | AMBAIR | fixed-wing ambulance transport |
4 | L: (AMBGRND) | C21552 | AMBGRND | ground ambulance transport |
4 | L: (AMBHELO) | C21553 | AMBHELO | helicopter ambulance transport |
3 | L: (LAWENF) | C21548 | LAWENF | law enforcement transport |
3 | L: (AFOOT) | C21551 | AFOOT | pedestrian transport |
3 | L: (PRVTRN) | C21550 | PRVTRN | private transport |
3 | L: (PUBTRN) | C21549 | PUBTRN | public transport |
1 | A: ExternallyDefinedActCodes | A16493 |  |  |
2 | A: DocumentSectionType | A10871 |  |  | The type of document section. Possible values: review of systems, medical history, family history, microscopic findings, etc.
2 | A: DocumentType | A10870 |  |  | The kind of document. Possible values: discharge summary, progress note, Oncology note, etc.
3 | A: ActMedicationDocumentCode | A19723 |  |  | Indicates the types of documents that can be associated with a medication or group of medications. Examples include: Patient monographs, Provider monographs, Drug protocols, etc.
1 | A: HL7DefinedActCodes | A13954 |  |  | Domain provides the root for HL7-defined detailed or rich codes for the Act classes.
2 | A: ActAccountCode | A14809 |  |  | An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.
3 | L: (CASH) | C14810 | CASH | Cash |
3 | A: CreditCard | A14811 |  |  |
4 | L: (AE) | C14814 | AE | American Express |
4 | L: (DN) | C14815 | DN | Diner's Club |
4 | L: (DV) | C14816 | DV | Discover Card |
4 | L: (MC) | C14813 | MC | Master Card |
4 | L: (V) | C14812 | V | Visa |
3 | L: (ACCTRECEIVABLE) | C21361 | ACCTRECEIVABLE | account receivable | An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.
3 | L: (PBILLACCT) | C21301 | PBILLACCT | patient billing account | An account representing charges and credits (financial transactions) for a patient's encounter.
2 | A: ActAdjudicationCode | A17616 |  |  | Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
3 | S: AdjudicatedWithAdjustments (AA) | S19347 | AA | adjudicated with adjustments | The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges). Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
4 | L: (ANF) | C19708 | ANF | adjudicated with adjustments and no financial impact | The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
3 | L: (AR) | C17619 | AR | adjudicated as refused | The invoice element has passed through the adjudication process but payment is refused due to one or more reasons. Includes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late'). If one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected. A refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer. Invoice element cannot be reversed (nullified) as there is nothing to reverse. Recommend that the invoice element is not saved for DUR (Drug Utilization Reporting).
3 | L: (AS) | C17617 | AS | adjudicated as submitted | The invoice element was/will be paid exactly as submitted, without financial adjustment(s). If the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as "Adjudicated with Adjustment". If information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim'). Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
2 | A: ActAdjudicationGroupCode | A17968 |  |  | Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).
3 | L: (CONT) | C17974 | CONT | contract | Transaction counts and value totals by Contract Identifier.
3 | L: (DAY) | C17969 | DAY | day | Transaction counts and value totals for each calendar day within the date range specified.
3 | L: (LOC) | C17976 | LOC | location | Transaction counts and value totals by service location (e.g clinic).
3 | L: (MONTH) | C17970 | MONTH | month | Transaction counts and value totals for each calendar month within the date range specified.
3 | L: (PERIOD) | C17971 | PERIOD | period | Transaction counts and value totals for the date range specified.
3 | L: (PROV) | C17975 | PROV | provider | Transaction counts and value totals by Provider Identifier.
3 | L: (WEEK) | C17972 | WEEK | week | Transaction counts and value totals for each calendar week within the date range specified.
3 | L: (YEAR) | C17973 | YEAR | year | Transaction counts and value totals for each calendar year within the date range specified.
2 | A: ActAdjudicationInformationCode | A19383 |  |  | Explanatory codes that provide information derived by an Adjudicator during the course of adjudicating an invoice. Codes from this domain are purely informational and do not materially affect the adjudicated invoice. That is, these codes do not impact or explain financial adjustments to an invoice. A companion domain (ActAdjudicationReasonCode) includes reasons which have a financial impact on an Invoice (claim). Example adjudication information code is 54540 - Patient has reached Plan Maximum for current year.
2 | A: ActAdjudicationResultActionCode | A17472 |  |  | Actions to be carried out by the recipient of the Adjudication Result information.
3 | L: (DISPLAY) | C17475 | DISPLAY | Display | The adjudication result associated is to be displayed to the receiver of the adjudication result.
3 | L: (FORM) | C17473 | FORM | Print on Form | The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.
2 | A: ActBillableTreatmentPlanCode | A19440 |  |  |
2 | A: ActBillingArrangementCode | A17478 |  |  | The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.
3 | L: (BLK) | C17480 | BLK | block funding | A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary. This billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.
3 | L: (CAP) | C17484 | CAP | capitation funding | A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).
3 | L: (CONTF) | C17481 | CONTF | contract funding | A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.
3 | L: (FFS) | C17479 | FFS | fee for service | A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product. Fee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.
3 | L: (FINBILL) | C19723 | FINBILL | financial | A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.
3 | L: (ROST) | C17482 | ROST | roster funding | A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.
3 | L: (SESS) | C17483 | SESS | sessional funding | A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.
2 | A: ActBoundedROICode | A17896 |  |  | Type of bounded ROI.
3 | L: (ROIFS) | C17897 | ROIFS | fully specified ROI | A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of "ST elevation" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.
3 | L: (ROIPS) | C17898 | ROIPS | partially specified ROI | A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.
2 | L: (_ActClaimAttachmentCode) | C20859 | _ActClaimAttachmentCode | ActClaimAttachmentCode | Identifies the type of attachment (document, XRAY, bit map image, etc.) included to support a healthcare claim. It will be a specification for the type of document (i.e. WCB First Report of Acccident - Form 8).
2 | A: ActContainerRegistrationCode | A14058 |  |  | Constrains the ActCode to the domain of Container Registration
3 | L: (X) | C14065 | X | Container Unavailable | Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).
3 | L: (ID) | C14059 | ID | Identified | Used by one system to inform another that it has received a container.
3 | L: (IP) | C14060 | IP | In Position | Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).
3 | L: (O) | C14061 | O | In Process | Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.
3 | L: (L) | C14063 | L | Left Equipment | Used by one system to inform another that the container has been released from that system.
3 | L: (M) | C14064 | M | Missing | Used by one system to inform another that the container did not arrive at its next expected location.
3 | L: (R) | C14062 | R | Process Completed | Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.
2 | A: ActControlVariable | A16857 |  |  | An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure. Control variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).
3 | A: ECGControlVariable | A19331 |  |  |
4 | A: ECGControlVariableMDC | A19336 |  |  | ISO 11073-10101 Health informatics - Point-of-care device codes, restricted to ECG Control Variables
3 | L: (AUTO) | C16860 | AUTO | auto-repeat permission | Specifies whether or not automatic repeat testing is to be initiated on specimens.
3 | L: (ENDC) | C16858 | ENDC | endogenous content | A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.
3 | L: (REFLEX) | C16859 | REFLEX | reflex permission | Specifies whether or not further testing may be automatically or manually initiated on specimens.
2 | A: ActCoverageConfirmationCode | A17487 |  |  | Response to an insurance coverage eligibility query or authorization request.
3 | A: ActCoverageAuthorizationConfirmationCode | A17491 |  |  | Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.
4 | L: (AUTH) | C17492 | AUTH | Authorized | Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.
4 | L: (NAUTH) | C17493 | NAUTH | Not Authorized | Authorization for specified healthcare service(s) and/or product(s) denied.
3 | A: ActCoverageEligibilityConfirmationCode | A17488 |  |  | Indication of eligibility coverage for healthcare service(s) and/or product(s).
4 | L: (ELG) | C17489 | ELG | Eligible | Insurance coverage is in effect for healthcare service(s) and/or product(s).
4 | L: (NELG) | C17490 | NELG | Not Eligible | Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.
2 | A: ActCoverageLimitCode | A17496 |  |  | Criteria that are applicable to the authorized coverage.
3 | L: (NETAMT) | C17497 | NETAMT | Net Amount | Maximum net amount that will be covered for the product or service specified.
3 | L: (UNITPRICE) | C17499 | UNITPRICE | Unit Price | Maximum unit price that will be covered for the authorized product or service.
3 | L: (UNITQTY) | C17498 | UNITQTY | Unit Quantity | Maximum number of items that will be covered of the product or service specified.
2 | A: ActDetectedIssueCode | A16124 |  |  | Identifies types of detected issues for Act class "ALRT"
3 | A: ActAdministrativeDetectedIssueCode | A19429 |  |  | Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
4 | A: ActAdministrativeAuthorizationDetectedIssueCode | A19620 |  |  |
5 | L: (NAT) | C21390 | NAT | Insufficient authorization | The requesting party has insufficient authorization to invoke the interaction.
4 | A: ActAdministrativeRuleDetectedIssueCode | A19621 |  |  |
5 | L: (KEY205) | C21393 | KEY205 | Duplicate key identifier | The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).
5 | L: (KEY204) | C21392 | KEY204 | Unknown key identifier | The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.
3 | A: ActFinancialDetectedIssueCode | A19428 |  |  | Identifies types of detected issues for Act class "ALRT" for the financial acts domain.
3 | A: ActSuppliedItemDetectedIssueCode | A16656 |  |  | Identifies types of detected issues regarding the administration or supply of an item to a patient.
4 | A: AdministrationDetectedIssueCode | A16657 |  |  | Administration of the proposed therapy may be inappropriate or contraindicated as proposed
5 | A: AppropriatenessDetectedIssueCode | A16658 |  |  |
6 | A: InteractionDetectedIssueCode | A16659 |  |  |
7 | L: (FOOD) | C16662 | FOOD | Food Interaction Alert | Proposed therapy may interact with certain foods
7 | S: TherapeuticProductDetectedIssueCode (TPROD) | S17807 | TPROD | Therapeutic Product Alert | Proposed therapy may interact with an existing or recent therapeutic product
8 | L: (DRG) | C16660 | DRG | Drug Interaction Alert | Proposed therapy may interact with an existing or recent drug therapy
8 | L: (NHP) | C16661 | NHP | Natural Health Product Alert | Proposed therapy may interact with existing or recent natural health product therapy
8 | L: (NONRX) | C16663 | NONRX | Non-Prescription Interaction Alert | Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)
6 | S: ObservationDetectedIssueCode (OBSA) | S16664 | OBSA | Observation Alert | Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
7 | S: AgeDetectedIssueCode (AGE) | S16669 | AGE | Age Alert | Proposed therapy may be inappropriate or contraindicated due to patient age
8 | L: (DOSEHINDA) | C17788 | DOSEHINDA | High Dose for Age Alert | Proposed dosage exceeds standard practice for the patient's age
8 | L: (DOSELINDA) | C17792 | DOSELINDA | Low Dose for Age Alert | Proposed dosage is below suggested therapeutic levels for the patient's age
7 | S: ConditionDetectedIssueCode (COND) | S16665 | COND | Condition Alert | Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
8 | A: HeightSurfaceAreaAlert | A17795 |  |  | Proposed therapy may be inappropriate based on the patient's height or body surface area
9 | L: (DOSEHINDSA) | C17787 | DOSEHINDSA | High Dose for Height/Surface Area Alert | Proposed dosage exceeds standard practice for the patient's height or body surface area
9 | L: (DOSELINDSA) | C17791 | DOSELINDSA | Low Dose for Height/Surface Area Alert | Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area
8 | L: (LACT) | C16667 | LACT | Lactation Alert | Proposed therapy may be inappropriate or contraindicated when breast-feeding
8 | L: (PREG) | C16666 | PREG | Pregnancy Alert | Proposed therapy may be inappropriate or contraindicated during pregnancy
8 | A: WeightAlert | A17794 |  |  | Proposed therapy may be inappropriate based on the patient's weight
9 | L: (DOSEHINDW) | C17786 | DOSEHINDW | High Dose for Weight Alert | Proposed dosage exceeds standard practice for the patient's weight
9 | L: (DOSELINDW) | C17790 | DOSELINDW | Low Dose for Weight Alert | Proposed dosage is below suggested therapeutic levels for the patient's weight
7 | L: (GEND) | C16670 | GEND | Gender Alert | Proposed therapy may be inappropriate or contraindicated due to patient gender.
7 | L: (GEN) | C16671 | GEN | Genetic Alert | Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.
7 | L: (LAB) | C16668 | LAB | Lab Alert | Proposed therapy may be inappropriate or contraindicated due to recent lab test results
7 | S: ReactionDetectedIssueCode (REACT) | S16672 | REACT | Reaction Alert | Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
8 | L: (ALGY) | C16674 | ALGY | Allergy Alert | Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)
8 | L: (INT) | C16673 | INT | Intolerance Alert | Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)
7 | S: RelatedReactionDetectedIssueCode (RREACT) | S16676 | RREACT | Related Reaction Alert | Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
8 | L: (RALG) | C16678 | RALG | Related Allergy Alert | Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)
8 | L: (RINT) | C16677 | RINT | Related Intolerance Alert | Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)
8 | L: (RAR) | C16679 | RAR | Related Prior Reaction Alert | Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
5 | S: ComplianceDetectedIssueCode (COMPLY) | S16687 | COMPLY | Compliance Alert | There may be an issue with the patient complying with the intentions of the proposed therapy
6 | L: (DUPTHPY) | C16688 | DUPTHPY | Duplicate Therapy Alert | The proposed therapy appears to duplicate an existing therapy
6 | L: (PLYDOC) | C16689 | PLYDOC | Poly-orderer Alert | A similar or identical therapy was recently ordered by a different practitioner.
6 | L: (PLYPHRM) | C16690 | PLYPHRM | Poly-supplier Alert | This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.
5 | S: DosageProblemDetectedIssueCode (DOSE) | S16680 | DOSE | Dosage problem | Proposed dosage instructions for therapy differ from standard practice.
6 | S: DoseDurationDetectedIssueCode (DOSEDUR) | S16684 | DOSEDUR | Dose-Duration Alert | Proposed length of therpay differs from standard practice
7 | S: DoseDurationHighDetectedIssueCode (DOSEDURH) | S16686 | DOSEDURH | Dose-Duration High Alert | Proposed length of therapy is longer than standard practice
8 | L: (DOSEDURHIND) | C17782 | DOSEDURHIND | Dose-Duration High for Indication Alert | Proposed length of therapy is longer than standard practice for the identified indication or diagnosis
7 | S: DoseDurationLowDetectedIssueCode (DOSEDURL) | S16685 | DOSEDURL | Dose-Duration Low Alert | Proposed length of therapy is shorter than that necessary for therapeutic effect
8 | L: (DOSEDURLIND) | C17783 | DOSEDURLIND | Dose-Duration Low for Indication Alert | Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis
6 | S: DoseHighDetectedIssueCode (DOSEH) | S16681 | DOSEH | High Dose Alert | Proposed dosage exceeds standard practice
7 | L: (DOSEHINDA) | C17788 | DOSEHINDA | High Dose for Age Alert | Proposed dosage exceeds standard practice for the patient's age
7 | L: (DOSEHINDSA) | C17787 | DOSEHINDSA | High Dose for Height/Surface Area Alert | Proposed dosage exceeds standard practice for the patient's height or body surface area
7 | L: (DOSEHIND) | C17785 | DOSEHIND | High Dose for Indication Alert |
7 | L: (DOSEHINDW) | C17786 | DOSEHINDW | High Dose for Weight Alert | Proposed dosage exceeds standard practice for the patient's weight
6 | S: DoseIntervalDetectedIssueCode (DOSEIVL) | S16683 | DOSEIVL | Dose-Interval Alert | Proposed dosage interval/timing differs from standard practice
7 | L: (DOSEIVLIND) | C17784 | DOSEIVLIND | Dose-Interval for Indication Alert | Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis
6 | S: DoseLowDetectedIssueCode (DOSEL) | S16682 | DOSEL | Low Dose Alert | Proposed dosage is below suggested therapeutic levels
7 | L: (DOSELINDA) | C17792 | DOSELINDA | Low Dose for Age Alert | Proposed dosage is below suggested therapeutic levels for the patient's age
7 | L: (DOSELINDSA) | C17791 | DOSELINDSA | Low Dose for Height/Surface Area Alert | Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area
7 | L: (DOSELIND) | C17789 | DOSELIND | Low Dose for Indication Alert |
7 | L: (DOSELINDW) | C17790 | DOSELINDW | Low Dose for Weight Alert | Proposed dosage is below suggested therapeutic levels for the patient's weight
5 | A: DrugActionDetectedIssueCode | A17815 |  |  | Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy
5 | A: TimingDetectedIssueCode | A17816 |  |  | Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
6 | L: (ENDLATE) | C17818 | ENDLATE | End Too Late Alert | Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
6 | L: (STRTLATE) | C17817 | STRTLATE | Start Too Late Alert | Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
4 | A: SupplyDetectedIssueCode | A16691 |  |  | Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
5 | L: (TOOLATE) | C16693 | TOOLATE | Refill Too Late Alert | The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions
5 | L: (TOOSOON) | C16692 | TOOSOON | Refill Too Soon Alert | The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions
3 | A: ClinicalActionDetectedIssueCode | A17814 |  |  | Identifies types of issues detected regarding the performance of a clinical action on a patient.
2 | A: ActDetectedIssueManagementCode | A16695 |  |  | Codes dealing with the management of Detected Issue observations
3 | A: ActAdministrativeDetectedIssueManagementCode | A19431 |  |  | Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
4 | A: AuthorizationIssueManagementCode | A19619 |  |  |
5 | L: (EMAUTH) | C21388 | EMAUTH | emergency authorization override | Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.
3 | A: ActFinancialDetectedIssueManagementCode | A19430 |  |  | Codes dealing with the management of Detected Issue observations for the financial acts domain.
3 | S: OtherActionTakenManagementCode (8) | S16703 | 8 | Other Action Taken | Order is performed as issued, but other action taken to mitigate potential adverse effects
4 | L: (11) | C16706 | 11 | Added Concurrent Therapy | Instituted an additional therapy to mitigate potential negative effects
4 | L: (9) | C16704 | 9 | Instituted Ongoing Monitoring Program | Arranged to monitor patient for adverse effects
4 | L: (10) | C16705 | 10 | Provided Patient Education | Provided education or training to the patient on appropriate therapy use
4 | L: (13) | C16708 | 13 | Stopped Concurrent Therapy | Aborted existing therapy that triggered interaction.
4 | L: (12) | C16707 | 12 | Temporarily Suspended Concurrent Therapy | Suspended existing therapy that triggered interaction for the duration of this therapy
3 | S: SupplyAppropriateManagementCode (14) | S16709 | 14 | Supply Appropriate | Confirmed supply action appropriate
4 | L: (18) | C17835 | 18 | Leave of Absence | Supply is intended for use during a leave of absence from an institution.
4 | L: (15) | C16710 | 15 | Replacement | Patient's existing supply was lost/wasted
4 | L: (16) | C16711 | 16 | Vacation Supply | Supply date is due to patient vacation
4 | L: (17) | C16712 | 17 | Weekend Supply | Supply date is intended to carry patient over weekend
3 | S: TherapyAppropriateManagementCode (1) | S16696 | 1 | Therapy Appropriate | Confirmed drug therapy appropriate
4 | L: (2) | C16697 | 2 | Assessed Patient | Assessed patient, therapy is appropriate
4 | L: (4) | C16699 | 4 | Consulted Other Source | Consulted other supply source, therapy still appropriate
4 | L: (19) | C17836 | 19 | Consulted Supplier | Consulted other supplier/pharmacy, therapy confirmed
4 | S: ConsultedPrescriberManagementCode (5) | S16700 | 5 | Consulted Prescriber | Consulted prescriber, therapy confirmed
5 | L: (6) | C16701 | 6 | Prescriber Declined Change | Consulted prescriber and recommended change, prescriber declined
4 | L: (7) | C16702 | 7 | Interacting Therapy No Longer Active/Planned | Concurrent therapy triggering alert is no longer on-going or planned
4 | L: (3) | C16698 | 3 | Patient Explanation | Patient gave adequate explanation
2 | A: ActDietCode | A10376 |  |  | Code set to define specialized/allowed diets
3 | L: (BR) | C10379 | BR | breikost (GE) | A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.
3 | L: (DM) | C10383 | DM | diabetes mellitus diet | A diet that uses carbohydrates sparingly. Typically with a restriction in daily energy content (e.g. 1600-2000 kcal).
3 | L: (FAST) | C10382 | FAST | fasting | No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesia.
3 | L: (GF) | C10390 | GF | gluten free | Gluten free diet for celiac disease.
3 | L: (LQ) | C10380 | LQ | liquid | A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber. Used before enteral surgeries.
3 | L: (LF) | C10386 | LF | low fat | A diet low in fat, particularly to patients with hepatic diseases.
3 | L: (LP) | C10389 | LP | low protein | A low protein diet for patients with renal failure.
3 | L: (LS) | C10388 | LS | low sodium | A diet low in sodium for patients with congestive heart failure and/or renal failure.
3 | L: (VLI) | C10392 | VLI | low valin, leucin, isoleucin | Diet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease."
3 | L: (NF) | C10387 | NF | no fat | A no fat diet for acute hepatic diseases.
3 | L: (N) | C10377 | N | normal diet | A normal diet, i.e. no special preparations or restrictions for medical reasons. This is notwithstanding any preferences the patient might have regarding special foods, such as vegetarian, kosher, etc.
3 | L: (PAR) | C10385 | PAR | parenteral | Patient is supplied with parenteral nutrition, typically described in terms of i.v. medications.
3 | L: (PAF) | C10391 | PAF | phenylalanine free | Phenylketonuria diet.
3 | L: (RD) | C10384 | RD | reduction diet | A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).
3 | L: (SCH) | C10378 | SCH | schonkost (GE) | A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).
3 | L: (T) | C10381 | T | tea only | This is not really a diet, since it contains little nutritional value, but is essentially just water. Used before coloscopy examinations.
2 | A: ActDisciplinaryActionCode | A19642 |  |  | An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable. Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.Examples:
2 | A: ActEncounterAccommodationCode | A16130 |  |  | Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
3 | L: (I) | C16134 | I | Isolation | Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.
3 | L: (P) | C16131 | P | Private | Accommodations in which there is only 1 bed.
3 | L: (SP) | C16132 | SP | Semi-private | Accommodations in which there are 2 beds.
3 | L: (S) | C16133 | S | Suite | Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.
3 | L: (W) | C16135 | W | Ward | Accommodations in which there are 3 or more beds.
2 | A: ActEncounterCode | A13955 |  |  | Domain provides codes that qualify the ActEncounterClass (ENC)
3 | S: ActInpatientEncounterCode (IMP) | S16847 | IMP | inpatient encounter | An inpatient encounter is an encounter in which the patient is admitted to a hospital or equivalent facility.
4 | L: (ACUTE) | C13956 | ACUTE | inpatient acute | An acute inpatient encounter.
4 | L: (NONAC) | C16238 | NONAC | inpatient non-acute | Any category of inpatient encounter except 'acute'
3 | A: ActMedicalServiceCode | A17449 |  |  | General category of medical service provided to the patient during their encounter.
4 | L: (ALC) | C17459 | ALC | Alternative Level of Care | Provision of Alternate Level of Care to a patient in an acute bed. Patient is waiting for placement in a long-term care facility and is unable to return home.
4 | L: (CARD) | C20092 | CARD | Cardiology | Provision of diagnosis and treatment of diseases and disorders affecting the heart
4 | L: (CHR) | C17453 | CHR | Chronic | Provision of recurring care for chronic illness.
4 | L: (DNTL) | C17456 | DNTL | Dental | Provision of treatment for oral health and/or dental surgery.
4 | L: (DRGRHB) | C17454 | DRGRHB | Drug Rehab | Provision of treatment for drug abuse.
4 | L: (GENRL) | C19974 | GENRL | General | General care performed by a general practitioner or family doctor as a responsible provider for a patient.
4 | L: (MED) | C17450 | MED | Medical | Provision of diagnostic and/or therapeutic treatment.
4 | L: (OBS) | C17460 | OBS | Obstetrics | Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity.
4 | L: (ONC) | C17457 | ONC | Oncology | Provision of treatment and/or diagnosis related to tumors and/or cancer.
4 | L: (PALL) | C17452 | PALL | Palliative | Provision of care for patients who are living or dying from an advanced illness.
4 | L: (PED) | C17461 | PED | Pediatrics | Provision of diagnosis and treatment of diseases and disorders affecting children.
4 | L: (PHAR) | C19975 | PHAR | Pharmaceutical | Pharmaceutical care performed by a pharmacist.
4 | L: (PHYRHB) | C17455 | PHYRHB | Physical Rehab | Provision of treatment for physical injury.
4 | L: (PSYCH) | C17458 | PSYCH | Psychiatric | Provision of treatment of psychiatric disorder relating to mental illness.
4 | L: (SURG) | C17451 | SURG | Surgical | Provision of surgical treatment.
3 | L: (AMB) | C16239 | AMB | ambulatory | A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter.
3 | L: (EMER) | C16240 | EMER | emergency | A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)
3 | L: (FLD) | C16235 | FLD | field | A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.
3 | L: (HH) | C16237 | HH | home health | Healthcare encounter that takes place in the residence of the patient or a designee
3 | L: (SS) | C21444 | SS | short stay | An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.
3 | L: (VR) | C16236 | VR | virtual | A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.
2 | A: ActFinancialTransactionCode | A14804 |  |  |
3 | L: (CHRG) | C14805 | CHRG | Standard Charge | A type of transaction that represents a charge for a service or product. Expressed in monetary terms.
3 | L: (REV) | C14806 | REV | Standard Charge Reversal | A type of transaction that represents a reversal of a previous charge for a service or product. Expressed in monetary terms. It has the opposite effect of a standard charge.
2 | A: ActIncidentCode | A16508 |  |  | Set of codes indicating the type of incident or accident.
3 | L: (MVA) | C16509 | MVA | Motor vehicle accident | Incident or accident as the result of a motor vehicle accident
3 | L: (SCHOOL) | C17468 | SCHOOL | School Accident | Incident or accident is the result of a school place accident.
3 | L: (SPT) | C17469 | SPT | Sporting Accident | Incident or accident is the result of a sporting accident.
3 | L: (WPA) | C16510 | WPA | Workplace accident | Incident or accident is the result of a work place accident
2 | A: ActInsurancePolicyCode | A19350 |  |  | Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.
3 | L: (AUTOPOL) | C19721 | AUTOPOL | automobile | Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.
3 | L: (EHCPOL) | C19722 | EHCPOL | extended healthcare | Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy).
3 | L: (HSAPOL) | C19720 | HSAPOL | health spending account | Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the discretion of the covered party.
3 | L: (PUBLICPOL) | C19718 | PUBLICPOL | public healthcare | Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).
3 | L: (WCBPOL) | C19719 | WCBPOL | worker's compensation | Insurance policy for injuries sustained in the work place or in the course of employment.
2 | A: ActInvoiceElementCode | A19397 |  |  | Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.
3 | A: ActInvoiceAdjudicationPaymentCode | A19412 |  |  | Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.
4 | A: ActInvoiceAdjudicationPaymentGroupCode | A19414 |  |  | Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
4 | A: ActInvoiceAdjudicationPaymentSummaryCode | A19413 |  |  | Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.
5 | L: (CONT) | C17974 | CONT | contract | Transaction counts and value totals by Contract Identifier.
5 | L: (DAY) | C17969 | DAY | day | Transaction counts and value totals for each calendar day within the date range specified.
5 | L: (INVTYPE) | C20055 | INVTYPE | invoice type | Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)
5 | L: (LOC) | C17976 | LOC | location | Transaction counts and value totals by service location (e.g clinic).
5 | L: (MONTH) | C17970 | MONTH | month | Transaction counts and value totals for each calendar month within the date range specified.
5 | L: (PAYEE) | C20057 | PAYEE | payee | Transaction counts and value totals by each instance of an invoice payee.
5 | L: (PAYOR) | C20056 | PAYOR | payor | Transaction counts and value totals by each instance of an invoice payor.
5 | L: (PERIOD) | C17971 | PERIOD | period | Transaction counts and value totals for the date range specified.
5 | L: (PROV) | C17975 | PROV | provider | Transaction counts and value totals by Provider Identifier.
5 | L: (SENDAPP) | C20054 | SENDAPP | sending application | Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers.
5 | L: (WEEK) | C17972 | WEEK | week | Transaction counts and value totals for each calendar week within the date range specified.
5 | L: (YEAR) | C17973 | YEAR | year | Transaction counts and value totals for each calendar year within the date range specified.
3 | A: ActInvoiceDetailCode | A19401 |  |  | Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts.
4 | A: ActInvoiceDetailClinicalProductCode | A19404 |  |  | An identifying data string for healthcare products.
4 | A: ActInvoiceDetailClinicalServiceCode | A19405 |  |  | An identifying data string for healthcare procedures.
4 | A: ActInvoiceDetailDrugProductCode | A19402 |  |  | An identifying data string for A substance used as a medication or in the preparation of medication.
4 | A: ActInvoiceDetailGenericCode | A19407 |  |  | The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.
5 | A: ActInvoiceDetailGenericAdjudicatorCode | A19411 |  |  | The billable item codes to identify adjudicator specified components to the total billing of a claim.
6 | L: (DEDUCTIBLE) | C20051 | DEDUCTIBLE | deductible | That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
6 | L: (COPAYMENT) | C20052 | COPAYMENT | patient co-pay | That portion of the eligible charges which a covered party must pay for each service and/or product. It is either a defined amount per service/product or percentage of the eligibile amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
6 | L: (PAY) | C21362 | PAY | payment | The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.
5 | A: ActInvoiceDetailGenericModifierCode | A19410 |  |  | The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.
6 | L: (ISOL) | C20048 | ISOL | isolation allowance | Premium paid on service fees in compensation for practicing in a remote location.
6 | L: (AFTHRS) | C20049 | AFTHRS | non-normal hours | Premium paid on service fees in compensation for practicing outside of normal working hours.
6 | L: (OOO) | C20050 | OOO | out of office | Premium paid on service fees in compensation for practicing at a location other than normal working location.
5 | A: ActInvoiceDetailGenericProviderCode | A19408 |  |  | The billable item codes to identify provider supplied charges or changes to the total billing of a claim.
6 | L: (CANCAPT) | C20040 | CANCAPT | cancelled appointment | A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.
6 | L: (DSC) | C20042 | DSC | discount | A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.
6 | L: (ESA) | C20043 | ESA | extraordinary service assessment | A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.
6 | L: (FFSTOP) | C21311 | FFSTOP | fee for service top off | Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.
6 | L: (FNLFEE) | C21314 | FNLFEE | final fee | Anticipated or actual final fee associated with treating a patient.
6 | L: (FRSTFEE) | C21313 | FRSTFEE | first fee | Anticipated or actual initial fee associated with treating a patient.
6 | L: (MARKUP) | C20038 | MARKUP | markup or up-charge | An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.
6 | L: (MISSAPT) | C20039 | MISSAPT | missed appointment | A charge to compensate the provider when a patient does not show for an appointment.
6 | L: (PERMBNS) | C21310 | PERMBNS | performance bonus | The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.
6 | L: (PERFEE) | C21312 | PERFEE | periodic fee | Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.
6 | L: (RESTOCK) | C20044 | RESTOCK | restocking fee | A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.
6 | L: (TRAVEL) | C20041 | TRAVEL | travel | A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.
6 | L: (URGENT) | C21315 | URGENT | urgent | Premium paid on service fees in compensation for providing an expedited response to an urgent situation.
5 | A: ActInvoiceDetailTaxCode | A19409 |  |  | The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.
6 | L: (FST) | C20045 | FST | federal sales tax | Federal tax on transactions such as the Goods and Services Tax (GST)
6 | L: (HST) | C20047 | HST | harmonized sales Tax | Joint Federal/Provincial Sales Tax
6 | L: (PST) | C20046 | PST | provincial/state sales tax | Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax
4 | A: ActInvoiceDetailPreferredAccommodationCode | A19406 |  |  | An identifying data string for medical facility accommodations.
5 | A: ActEncounterAccommodationCode | A16130 |  |  | Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
6 | L: (I) | C16134 | I | Isolation | Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.
6 | L: (P) | C16131 | P | Private | Accommodations in which there is only 1 bed.
6 | L: (SP) | C16132 | SP | Semi-private | Accommodations in which there are 2 beds.
6 | L: (S) | C16133 | S | Suite | Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.
6 | L: (W) | C16135 | W | Ward | Accommodations in which there are 3 or more beds.
4 | A: CanadianActInvoiceDetailClinicalProductCode | A19432 |  |  | An identifying data string for healthcare products, for use in Canada.
4 | A: CanadianActInvoiceDetailClinicalServiceCode | A19434 |  |  | An identifying data string for healthcare products., for use in Canada.
4 | A: x_ActInvoiceDetailPharmacyCode | A19415 |  |  | The billable codes selected for use for Pharmacy Invoices. Steward is Financial Management.
5 | A: ActInvoiceDetailClinicalProductCode | A19404 |  |  | An identifying data string for healthcare products.
5 | A: ActInvoiceDetailClinicalServiceCode | A19405 |  |  | An identifying data string for healthcare procedures.
5 | A: ActInvoiceDetailDrugProductCode | A19402 |  |  | An identifying data string for A substance used as a medication or in the preparation of medication.
5 | A: ActInvoiceDetailGenericCode | A19407 |  |  | The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.
6 | A: ActInvoiceDetailGenericAdjudicatorCode | A19411 |  |  | The billable item codes to identify adjudicator specified components to the total billing of a claim.
7 | L: (DEDUCTIBLE) | C20051 | DEDUCTIBLE | deductible | That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
7 | L: (COPAYMENT) | C20052 | COPAYMENT | patient co-pay | That portion of the eligible charges which a covered party must pay for each service and/or product. It is either a defined amount per service/product or percentage of the eligibile amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
7 | L: (PAY) | C21362 | PAY | payment | The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.
6 | A: ActInvoiceDetailGenericModifierCode | A19410 |  |  | The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.
7 | L: (ISOL) | C20048 | ISOL | isolation allowance | Premium paid on service fees in compensation for practicing in a remote location.
7 | L: (AFTHRS) | C20049 | AFTHRS | non-normal hours | Premium paid on service fees in compensation for practicing outside of normal working hours.
7 | L: (OOO) | C20050 | OOO | out of office | Premium paid on service fees in compensation for practicing at a location other than normal working location.
6 | A: ActInvoiceDetailGenericProviderCode | A19408 |  |  | The billable item codes to identify provider supplied charges or changes to the total billing of a claim.
7 | L: (CANCAPT) | C20040 | CANCAPT | cancelled appointment | A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.
7 | L: (DSC) | C20042 | DSC | discount | A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.
7 | L: (ESA) | C20043 | ESA | extraordinary service assessment | A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.
7 | L: (FFSTOP) | C21311 | FFSTOP | fee for service top off | Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.
7 | L: (FNLFEE) | C21314 | FNLFEE | final fee | Anticipated or actual final fee associated with treating a patient.
7 | L: (FRSTFEE) | C21313 | FRSTFEE | first fee | Anticipated or actual initial fee associated with treating a patient.
7 | L: (MARKUP) | C20038 | MARKUP | markup or up-charge | An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.
7 | L: (MISSAPT) | C20039 | MISSAPT | missed appointment | A charge to compensate the provider when a patient does not show for an appointment.
7 | L: (PERMBNS) | C21310 | PERMBNS | performance bonus | The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.
7 | L: (PERFEE) | C21312 | PERFEE | periodic fee | Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.
7 | L: (RESTOCK) | C20044 | RESTOCK | restocking fee | A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.
7 | L: (TRAVEL) | C20041 | TRAVEL | travel | A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.
7 | L: (URGENT) | C21315 | URGENT | urgent | Premium paid on service fees in compensation for providing an expedited response to an urgent situation.
6 | A: ActInvoiceDetailTaxCode | A19409 |  |  | The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.
7 | L: (FST) | C20045 | FST | federal sales tax | Federal tax on transactions such as the Goods and Services Tax (GST)
7 | L: (HST) | C20047 | HST | harmonized sales Tax | Joint Federal/Provincial Sales Tax
7 | L: (PST) | C20046 | PST | provincial/state sales tax | Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax
4 | A: x_ActInvoiceDetailPreferredAccommodationCode | A19416 |  |  | The billable codes selected for use for Preferred Accommodation Invoices. Steward is Financial Management.
5 | A: ActInvoiceDetailPreferredAccommodationCode | A19406 |  |  | An identifying data string for medical facility accommodations.
6 | A: ActEncounterAccommodationCode | A16130 |  |  | Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
7 | L: (I) | C16134 | I | Isolation | Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.
7 | L: (P) | C16131 | P | Private | Accommodations in which there is only 1 bed.
7 | L: (SP) | C16132 | SP | Semi-private | Accommodations in which there are 2 beds.
7 | L: (S) | C16133 | S | Suite | Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.
7 | L: (W) | C16135 | W | Ward | Accommodations in which there are 3 or more beds.
3 | A: ActInvoiceGroupCode | A19398 |  |  | Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.
4 | A: ActInvoiceInterGroupCode | A19400 |  |  | Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. The domain is only specified for an intermediate invoice element group (non-root or non-top level) for an Invoice.
5 | L: (CPNDDRGING) | C20033 | CPNDDRGING | compound drug invoice group | A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced. It may also contain generic detail items such as markup.
5 | L: (CPNDINDING) | C20034 | CPNDINDING | compound ingredient invoice group | A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup.
5 | L: (CPNDSUPING) | C20035 | CPNDSUPING | compound supply invoice group | A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup.
5 | L: (DRUGING) | C20032 | DRUGING | drug invoice group | A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.
5 | L: (FRAMEING) | C20037 | FRAMEING | frame invoice group | A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.
5 | L: (LENSING) | C20036 | LENSING | lens invoice group | A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.
5 | L: (PRDING) | C20031 | PRDING | product invoice group | A grouping of invoice element details including the one specifying the product (good or supply) being invoiced. It may also contain generic detail items such as tax or discount.
4 | A: ActInvoiceRootGroupCode | A19399 |  |  | Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. Codes from this domain reflect the type of Invoice such as Pharmacy Dispense, Clinical Service and Clinical Product. The domain is only specified for the root (top level) invoice element group for an Invoice.
5 | L: (RXCINV) | C20027 | RXCINV | Rx compound invoice | Pharmacy dispense invoice for a compound.
5 | L: (RXDINV) | C20028 | RXDINV | Rx dispense invoice | Pharmacy dispense invoice not involving a compound
5 | L: (CPINV) | C19715 | CPINV | clinical product invoice | Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s). For example, a crutch or a wheelchair.
5 | L: (CSPINV) | C20076 | CSPINV | clinical service and product | A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator. For example , a brace (product) invoiced together with the fitting (service).
5 | L: (CSINV) | C19714 | CSINV | clinical service invoice | Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services. [1] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service. For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization). [2] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together. For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together. [3] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time. For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).
5 | L: (FININV) | C19716 | FININV | financial invoice | Invoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider. Examples are interest charges and mileage.
5 | L: (OHSINV) | C21309 | OHSINV | oral health service | A clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.
5 | L: (PAINV) | C20029 | PAINV | preferred accommodation invoice | HealthCare facility preferred accommodation invoice.
5 | L: (SBFINV) | C19717 | SBFINV | sessional or block fee invoice | Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.
5 | L: (VRXINV) | C20030 | VRXINV | vision dispense invoice | Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.
2 | A: ActInvoiceElementSummaryCode | A17522 |  |  | Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.
3 | A: InvoiceElementAdjudicated | A17530 |  |  | Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.
4 | L: (ADNPPPELAT) | C17544 | ADNPPPELAT | adjud. non-payee payable prior-period electronic amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
4 | L: (ADNPPPELCT) | C17543 | ADNPPPELCT | adjud. non-payee payable prior-period electronic count | Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
4 | L: (ADNPPPMNAT) | C17546 | ADNPPPMNAT | adjud. non-payee payable prior-period manual amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
4 | L: (ADNPPPMNCT) | C17545 | ADNPPPMNCT | adjud. non-payee payable prior-period manual count | Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
4 | L: (ADNPSPELAT) | C17540 | ADNPSPELAT | adjud. non-payee payable same-period electronic amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
4 | L: (ADNPSPELCT) | C17539 | ADNPSPELCT | adjud. non-payee payable same-period electronic count | Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
4 | L: (ADNPSPMNAT) | C17542 | ADNPSPMNAT | adjud. non-payee payable same-period manual amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
4 | L: (ADNPSPMNCT) | C17541 | ADNPSPMNCT | adjud. non-payee payable same-period manual count | Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
4 | L: (ADNFPPELAT) | C20007 | ADNFPPELAT | adjud. nullified prior-period electronic amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
4 | L: (ADNFPPELCT) | C20006 | ADNFPPELCT | adjud. nullified prior-period electronic count | Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
4 | L: (ADNFPPMNAT) | C20009 | ADNFPPMNAT | adjud. nullified prior-period manual amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
4 | L: (ADNFPPMNCT) | C20008 | ADNFPPMNCT | adjud. nullified prior-period manual count | Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
4 | L: (ADNFSPELAT) | C20005 | ADNFSPELAT | adjud. nullified same-period electronic amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
4 | L: (ADNFSPELCT) | C20004 | ADNFSPELCT | adjud. nullified same-period electronic count | Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
4 | L: (ADNFSPMNAT) | C20011 | ADNFSPMNAT | adjud. nullified same-period manual amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
4 | L: (ADNFSPMNCT) | C20010 | ADNFSPMNCT | adjud. nullified same-period manual count | Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
4 | L: (ADPPPPELAT) | C17536 | ADPPPPELAT | adjud. payee payable prior-period electronic amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
4 | L: (ADPPPPELCT) | C17535 | ADPPPPELCT | adjud. payee payable prior-period electronic count | Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
4 | L: (ADPPPPMNAT) | C17538 | ADPPPPMNAT | adjud. payee payable prior-period manual amout | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
4 | L: (ADPPPPMNCT) | C17537 | ADPPPPMNCT | adjud. payee payable prior-period manual count | Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
4 | L: (ADPPSPELAT) | C17532 | ADPPSPELAT | adjud. payee payable same-period electronic amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
4 | L: (ADPPSPELCT) | C17531 | ADPPSPELCT | adjud. payee payable same-period electronic count | Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
4 | L: (ADPPSPMNAT) | C17534 | ADPPSPMNAT | adjud. payee payable same-period manual amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
4 | L: (ADPPSPMNCT) | C17533 | ADPPSPMNCT | adjud. payee payable same-period manual count | Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
4 | L: (ADRFPPELAT) | C17560 | ADRFPPELAT | adjud. refused prior-period electronic amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
4 | L: (ADRFPPELCT) | C17559 | ADRFPPELCT | adjud. refused prior-period electronic count | Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
4 | L: (ADRFPPMNAT) | C17562 | ADRFPPMNAT | adjud. refused prior-period manual amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
4 | L: (ADRFPPMNCT) | C17561 | ADRFPPMNCT | adjud. refused prior-period manual count | Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
4 | L: (ADRFSPELAT) | C17556 | ADRFSPELAT | adjud. refused same-period electronic amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
4 | L: (ADRFSPELCT) | C17555 | ADRFSPELCT | adjud. refused same-period electronic count | Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
4 | L: (ADRFSPMNAT) | C17558 | ADRFSPMNAT | adjud. refused same-period manual amount | Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
4 | L: (ADRFSPMNCT) | C17557 | ADRFSPMNCT | adjud. refused same-period manual count | Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
3 | A: InvoiceElementPaid | A17563 |  |  | Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.
4 | L: (PDNPPPELAT) | C17577 | PDNPPPELAT | paid non-payee payable prior-period electronic amount | Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
4 | L: (PDNPPPELCT) | C17576 | PDNPPPELCT | paid non-payee payable prior-period electronic count | Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
4 | L: (PDNPPPMNAT) | C17579 | PDNPPPMNAT | paid non-payee payable prior-period manual amount | Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
4 | L: (PDNPPPMNCT) | C17578 | PDNPPPMNCT | paid non-payee payable prior-period manual count | Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
4 | L: (PDNPSPELAT) | C17573 | PDNPSPELAT | paid non-payee payable same-period electronic amount | Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
4 | L: (PDNPSPELCT) | C17572 | PDNPSPELCT | paid non-payee payable same-period electronic count | Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
4 | L: (PDNPSPMNAT) | C17575 | PDNPSPMNAT | paid non-payee payable same-period manual amount | Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
4 | L: (PDNPSPMNCT) | C17574 | PDNPSPMNCT | paid non-payee payable same-period manual count | Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
4 | L: (PDNFPPELAT) | C20017 | PDNFPPELAT | paid nullified prior-period electronic amount | Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
4 | L: (PDNFPPELCT) | C20016 | PDNFPPELCT | paid nullified prior-period electronic count | Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
4 | L: (PDNFPPMNAT) | C20019 | PDNFPPMNAT | paid nullified prior-period manual amount | Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
4 | L: (PDNFPPMNCT) | C20018 | PDNFPPMNCT | paid nullified prior-period manual count | Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
4 | L: (PDNFSPELAT) | C20013 | PDNFSPELAT | paid nullified same-period electronic amount | Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
4 | L: (PDNFSPELCT) | C20012 | PDNFSPELCT | paid nullified same-period electronic count | Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.
4 | L: (PDNFSPMNAT) | C20015 | PDNFSPMNAT | paid nullified same-period manual amount | Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
4 | L: (PDNFSPMNCT) | C20014 | PDNFSPMNCT | paid nullified same-period manual count | Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
4 | L: (PDPPPPELAT) | C17569 | PDPPPPELAT | paid payee payable prior-period electronic amount | Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
4 | L: (PDPPPPELCT) | C17568 | PDPPPPELCT | paid payee payable prior-period electronic count | Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
4 | L: (PDPPPPMNAT) | C17571 | PDPPPPMNAT | paid payee payable prior-period manual amount | Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
4 | L: (PDPPPPMNCT) | C17570 | PDPPPPMNCT | paid payee payable prior-period manual count | Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
4 | L: (PDPPSPELAT) | C17565 | PDPPSPELAT | paid payee payable same-period electronic amount | Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
4 | L: (PDPPSPELCT) | C17564 | PDPPSPELCT | paid payee payable same-period electronic count | Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
4 | L: (PDPPSPMNAT) | C17567 | PDPPSPMNAT | paid payee payable same-period manual amount | Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
4 | L: (PDPPSPMNCT) | C17566 | PDPPSPMNCT | paid payee payable same-period manual count | Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
3 | A: InvoiceElementSubmitted | A17523 |  |  | Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.
4 | L: (SBBLELAT) | C19999 | SBBLELAT | submitted billed electronic amount | Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
4 | L: (SBBLELCT) | C19998 | SBBLELCT | submitted billed electronic count | Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
4 | L: (SBNFELCT) | C20000 | SBNFELCT | submitted cancelled electronic count | Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
4 | L: (SBNFELAT) | C20001 | SBNFELAT | submitted nullified electronic amount | Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
4 | L: (SBPDELAT) | C20003 | SBPDELAT | submitted pending electronic amount | Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
4 | L: (SBPDELCT) | C20002 | SBPDELCT | submitted pending electronic count | Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
2 | A: ActInvoiceOverrideCode | A17590 |  |  | Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
3 | L: (COVGE) | C17594 | COVGE | coverage problem | Insurance coverage problems have been encountered. Additional explanation information to be supplied.
3 | L: (PYRDELAY) | C17591 | PYRDELAY | delayed by a previous payor | Allows provider to explain lateness of invoice to a subsequent payor.
3 | L: (EFORM) | C20021 | EFORM | electronic form to follow | Electronic form with supporting or additional information to follow.
3 | L: (FAX) | C20022 | FAX | fax to follow | Fax with supporting or additional information to follow.
3 | L: (GFTH) | C17592 | GFTH | good faith indicator | The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.
3 | L: (LATE) | C17593 | LATE | late invoice | Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied.
3 | L: (MANUAL) | C19713 | MANUAL | manual review | Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.
3 | L: (ORTHO) | C21317 | ORTHO | orthodontic service | The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.
3 | L: (OOJ) | C18036 | OOJ | out of jurisdiction | The medical service and/or product was provided to a patient that has coverage in another jurisdiction.
3 | L: (PAPER) | C20020 | PAPER | paper documentation to follow | Paper documentation (or other physical format) with supporting or additional information to follow.
3 | L: (PIE) | C20023 | PIE | public insurance exhausted | Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.
3 | L: (REFNR) | C18037 | REFNR | referral not required | Rules of practice do not require a physician's referral for the provider to perform a billable service.
3 | L: (REPSERV) | C19711 | REPSERV | repeated service | The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate.
3 | L: (UNRELAT) | C21316 | UNRELAT | unrelated service | The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items.
3 | L: (VERBAUTH) | C19712 | VERBAUTH | verbal authorization | The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.
2 | A: ActListCode | A19364 |  |  | Provides codes associated with ActClass value of LIST (working list)
3 | S: ActMedicationList (MEDLIST) | S19976 | MEDLIST | medication list | List of medications.
4 | L: (CURMEDLIST) | C19977 | CURMEDLIST | current medication list | List of current medications.
4 | L: (DISCMEDLIST) | C19979 | DISCMEDLIST | discharge medication list | List of discharge medications.
4 | L: (HISTMEDLIST) | C19978 | HISTMEDLIST | medication history | Historical list of medications.
3 | A: ActObservationList | A19370 |  |  |
4 | S: ActConditionList (CONDLIST) | S21322 | CONDLIST | condition list | List of condition observations.
5 | L: (INTOLIST) | C19982 | INTOLIST | intolerance list | List of intolerance observations.
5 | L: (PROBLIST) | C19980 | PROBLIST | problem list | List of problem observations.
5 | L: (RISKLIST) | C19983 | RISKLIST | risk factors | List of risk factor observations.
4 | L: (CARELIST) | C19984 | CARELIST | care plan | List of acts representing a care plan. The acts can be in a varierty of moods including event (EVN) to record acts that have been carried out as part of the care plan.
4 | L: (GOALLIST) | C19981 | GOALLIST | goal list | List of observations in goal mood.
3 | A: ActTherapyDurationWorkingListCode | A19710 |  |  | Codes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".
2 | A: ActMonitoringProtocolCode | A16231 |  |  | Identifies types of monitoring programs
3 | S: ControlledSubstanceMonitoringProtocol (CTLSUB) | S16232 | CTLSUB | Controlled Substance | A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.
4 | A: DEADrugSchedule | A19254 |  |  | DEA schedule for a drug.
2 | A: ActOrderCode | A19586 |  |  | The type of order that was fulfilled by the clinical service
2 | A: ActPaymentCode | A17610 |  |  | Code identifying the method or the movement of payment instructions. Codes are drawn from X12 data element 591 (PaymentMethodCode)
3 | L: (ACH) | C17611 | ACH | Automated Clearing House | Automated Clearing House (ACH).
3 | L: (CHK) | C17612 | CHK | Cheque | A written order to a bank to pay the amount specified from funds on deposit.
3 | L: (DDP) | C17613 | DDP | Direct Deposit | Electronic Funds Transfer (EFT) deposit into the payee's bank account
3 | L: (NON) | C17614 | NON | Non-Payment Data | Non-Payment Data.
2 | A: ActPharmacySupplyType | A16208 |  |  | Identifies types of dispensing events
3 | S: EmergencyPharmacySupplyType (EM) | S16220 | EM | Emergency Supply | A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription)
4 | L: (SO) | C16221 | SO | Script Owing | An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.
3 | S: FirstFillPharmacySupplyType (FF) | S16209 | FF | First Fill | The initial fill against an order. (This includes initial fills against refill orders.)
4 | L: (DF) | C16214 | DF | Daily Fill | A fill providing sufficient supply for one day
4 | L: (FFC) | C16210 | FFC | First Fill - Complete | A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets).
4 | L: (FFP) | C16211 | FFP | First Fill - Part Fill | A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)
4 | L: (TF) | C16212 | TF | Trial Fill | A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.
4 | L: (UD) | C16223 | UD | Unit Dose | A supply action that provides sufficient material for a single dose.
3 | L: (FS) | C16222 | FS | Floor stock | A supply action to restock a smaller more local dispensary.
3 | L: (MS) | C16219 | MS | Manufacturer Sample | A supply of a manufacturer sample
3 | S: RefillPharmacySupplyType (RF) | S16215 | RF | Refill | A fill against an order that has already been filled (or partially filled) at least once.
4 | L: (DF) | C16214 | DF | Daily Fill | A fill providing sufficient supply for one day
4 | L: (RFF) | C16218 | RFF | Refill (First fill this facility) | The first fill against an order that has already been filled at least once at another facility.
4 | L: (RFC) | C16216 | RFC | Refill - Complete | A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.)
4 | L: (RFP) | C16217 | RFP | Refill - Part Fill | A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)
4 | L: (TB) | C16213 | TB | Trial Balance | A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.
4 | L: (UD) | C16223 | UD | Unit Dose | A supply action that provides sufficient material for a single dose.
2 | A: ActPrivilegeCategorization | A19725 |  |  | An Act which characterizes a Privilege can have additional observations to provide a finer definition of the requested or conferred privilege. This domain describes the categories under which this additional information is classified.
2 | A: ActProcedureCode | A16535 |  |  | An identifying code for healthcare interventions/procedures.
2 | A: ActProductAcquisitionCode | A17958 |  |  | The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.
3 | S: Loan (LOAN) | S17961 | LOAN | Loan | Temporary supply of a product without transfer of ownership for the product.
4 | L: (RENT) | C17962 | RENT | Rent | Temporary supply of a product with financial compensation, without transfer of ownership for the product.
3 | S: Transfer (TRANSFER) | S17959 | TRANSFER | Transfer | Transfer of ownership for a product.
4 | L: (SALE) | C17960 | SALE | Sale | Transfer of ownership for a product for financial compensation.
2 | L: (_ActRegistryCode) | C20904 | _ActRegistryCode | ActRegistryCode | This is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Employee Registry, Tumor Registry.
2 | A: ActSpecObsCode | A13957 |  |  | Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation
3 | L: (ARTBLD) | C14387 | ARTBLD | ActSpecObsArtBldCode | Describes the artificial blood identifier that is associated with the specimen.
3 | S: ActSpecObsDilutionCode (DILUTION) | S14352 | DILUTION | ActSpecObsDilutionCode | An observation that reports the dilution of a sample.
4 | L: (AUTO-HIGH) | C13958 | AUTO-HIGH | Auto-High Dilution | The dilution of a sample performed by automated equipment. The value is specified by the equipment
4 | L: (AUTO-LOW) | C13959 | AUTO-LOW | Auto-Low Dilution | The dilution of a sample performed by automated equipment. The value is specified by the equipment
4 | L: (PRE) | C13961 | PRE | Pre-Dilution | The dilution of the specimen made prior to being loaded onto analytical equipment
4 | L: (RERUN) | C13960 | RERUN | Rerun Dilution | The value of the dilution of a sample after it had been analyzed at a prior dilution value
3 | L: (EVNFCTS) | C14390 | EVNFCTS | ActSpecObsEvntfctsCode | Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)
3 | S: ActSpecObsInterferenceCode (INTFR) | S14382 | INTFR | ActSpecObsInterferenceCode | An observation that relates to factors that may potentially cause interference with the observation
4 | L: (FIBRIN) | C14386 | FIBRIN | Fibrin | The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1
4 | L: (HEMOLYSIS) | C14383 | HEMOLYSIS | Hemolysis | An observation of the hemolysis index of the specimen in g/L
4 | L: (ICTERUS) | C14385 | ICTERUS | Icterus | An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin
4 | L: (LIPEMIA) | C14384 | LIPEMIA | Lipemia | An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units).
3 | S: ActSpecObsVolumeCode (VOLUME) | S14369 | VOLUME | ActSpecObsVolumeCode | An observation that reports the volume of a sample.
4 | L: (AVAILABLE) | C13963 | AVAILABLE | Available Volume | The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)
4 | L: (CONSUMPTION) | C13965 | CONSUMPTION | Consumption Volume | The quantity of specimen that is used each time the equipment uses this substance
4 | L: (CURRENT) | C13962 | CURRENT | Current Volume | The current quantity of the specimen, i.e., initial quantity minus what has been actually used.
4 | L: (INITIAL) | C13964 | INITIAL | Initial Volume | The initial quantity of the specimen in inventory
2 | A: ActSpecimenTreatmentCode | A14040 |  |  | Set of codes related to specimen treatments
3 | L: (ACID) | C14044 | ACID | Acidification | The lowering of specimen pH through the addition of an acid
3 | L: (ALK) | C14046 | ALK | Alkalization | The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.
3 | L: (DEFB) | C14043 | DEFB | Defibrination | The removal of fibrin from whole blood or plasma through physical or chemical means
3 | L: (FILT) | C14047 | FILT | Filtration | The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).
3 | L: (LDLP) | C14041 | LDLP | LDL Precipitation |
3 | L: (NEUT) | C14045 | NEUT | Neutralization | The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.
3 | L: (RECA) | C14042 | RECA | Recalcification | The addition of calcium back to a specimen after it was removed by chelating agents
3 | L: (UFIL) | C14048 | UFIL | Ultrafiltration | The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.
2 | A: ActSubstanceAdminSubstitutionCode | A16621 |  |  |
3 | S: SubstanceAdminGenericSubstitution (G) | S16623 | G | generic | Substitution occurred or is permitted with another product in the same generic ingredient.
4 | L: (TE) | C16624 | TE | therapeutic | Substitution occurred with another product having the same therapeutic objective.
3 | L: (F) | C16625 | F | formulary | This substitution must be performed based on formulary guidelines. Substitution occurred or is permitted with another product that may potentially have different ingredients, but having the same biological effect.
3 | L: (N) | C16622 | N | none | No substitution occurred or is permitted.
2 | A: ActSubstanceAdministrationCode | A19708 |  |  | Describes the type of substance administration being performed.
3 | S: ActSubstanceAdministrationImmunizationCode (IMMUNIZ) | S21519 | IMMUNIZ | Immunization | The introduction of ??? with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.
4 | L: (BOOSTER) | C21521 | BOOSTER | Booster Immunization | An additional immunization administration within a series intended to bolster or enhance immunity.
4 | L: (INITIMMUNIZ) | C21520 | INITIMMUNIZ | Initial Immunization | The first immunization administration in a series intended to produce immunity
3 | L: (DRUG) | C21518 | DRUG | Drug therapy | The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.
3 | A: x_MedicationOrImmunization | A19745 |  |  |
4 | L: (DRUG) | C21518 | DRUG | Drug therapy | The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.
4 | L: (IMMUNIZ) | C21519 | IMMUNIZ | Immunization | The introduction of ??? with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.
2 | A: CanadianActProcedureCode | A19433 |  |  | An identifying data string for healthcare procedures, for use in Canada.
2 | A: HL7TriggerEventCode | A19427 |  |  | The trigger event referenced by the Control Act instance. Values are drawn from the available trigger events used in the release of HL7 identified by the versionCode.
2 | A: ROIOverlayShape | A16117 |  |  | Shape of the region on the object being referenced
3 | L: (CIRCLE) | C16118 | CIRCLE | circle | A circle defined by two (column,row) pairs. The first point is the center of the circle and the second point is a point on the perimeter of the circle.
3 | L: (ELLIPSE) | C16119 | ELLIPSE | ellipse | An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis.
3 | L: (POINT) | C16120 | POINT | point | A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.
3 | L: (POLY) | C16121 | POLY | polyline | A series of connected line segments with ordered vertices denoted by (column,row) pairs; if the first and last vertices are the same, it is a closed polygon.
2 | A: x_ActFinancialProductAcquisitionCode | A17963 |  |  | The method that a product is obtained for use by the subject of the supply act (e.g. patient), with financial compensation. Product examples are consumable or durable goods.
3 | L: (RENT) | C17962 | RENT | Rent | Temporary supply of a product with financial compensation, without transfer of ownership for the product.
3 | L: (SALE) | C17960 | SALE | Sale | Transfer of ownership for a product for financial compensation.
1 | A: ObservationType | A16226 |  |  | Identifies the kinds of observations that can be performed
2 | A: ActPrivilegeCategorizationType | A19750 |  |  | This domain includes observations used to characterize a privilege, under which this additional information is classified. Examples:A privilege to prescribe drugs has a RESTRICTION that excludes prescribing narcotics; a surgical procedure privilege has a PRE-CONDITION that it requires prior Board approval.
2 | L: (ADVERSE_REACTION) | C21510 | ADVERSE_REACTION | Adverse Reaction | Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents. Observation values would be the symptom resulting from the reaction.
2 | A: AnnotationType | A19329 |  |  |
3 | A: ECGAnnotationType | A19330 |  |  |
4 | A: ECGAnnotationTypeMDC | A19335 |  |  | ISO 11073-10101 Health informatics - Point-of-care device codes, restricted to ECG category names
2 | A: CommonClinicalObservationType | A19715 |  |  | Used in a patient care message to report and query simple clinical (non-lab) observations.
2 | A: DiagnosticImageCode | A19737 |  |  | Identifies the types of diagnostic image. Examples: Echocardiogram, electocardiogram, X-ray.
2 | L: (_FDALabelData) | C20920 | _FDALabelData | FDALabelData | FDA label data
2 | A: IndividualCaseSafetyReportType | A19622 |  |  | A code that is used to indicate the type of case safety report received from sender. The current code example reference is from the International Conference on Harmonisation (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports. The unknown/unavailable option allows the transmission of information from a secondary sender where the initial sender did not specify the type of report. Example concepts include: Spontaneous, Report from study, Other.
2 | A: LogicalObservationIdentifierNamesAndCodes | A16492 |  |  | The LOINC database provides a set of universal names and ID codes for identifying laboratory and clinical test results. The purpose is to facilitate the exchange and pooling of results, such as blood hemoglobin, serum potassium, or vital signs, for clinical care, outcomes management, and research. The LOINC codes are not intended to transmit all possible information about a test or observation. They are only intended to identify the test result or clinical observation. http://www.regenstrief.org/LOINC/LOINC.htm
2 | A: MedicationObservationType | A19751 |  |  |
3 | L: (SPLCOATING) | C21604 | SPLCOATING | coating | Definition: A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating. Only coatings to the external surface or the dosage form should be considered (for example, coatings to individual pellets or granules inside a capsule or tablet are excluded from consideration). Constraints: The Observation.value must be a Boolean (BL) with true for the presence or false for the absence of one or more coatings on a solid dosage form.
3 | L: (SPLCOLOR) | C21608 | SPLCOLOR | color | Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form. SPLCOLOR is not an FDA specification for the actual color of solid dosage forms or the names of colors that can appear in labeling. Constraints: The Observation.value must be a single coded value or a list of multiple coded values, specifying one or more distinct colors that approximate of the color(s) of distinct areas of the solid dosage form, such as the different sides of a tablet or one-part capsule, or the different halves of a two-part capsule. Bands on banded capsules, regardless of the color, are not considered when assigning an SPLCOLOR. Imprints on the dosage form, regardless of their color are not considered when assigning an SPLCOLOR. If more than one color exists on a particular side or half, then the most predominant color on that side or half is recorded. If the gelatin capsule shell is colorless and transparent, use the predominant color of the contents that appears through the colorless and transparent capsule shell. Colors can include: Black;Gray;White;Red;Pink;Purple;Green;Yellow;Orange;Brown;Blue;Turquoise.
3 | L: (SPLIMAGE) | C21610 | SPLIMAGE | image | Description: A characteristic representing a single file reference that contains two or more views of the same dosage form of the product; in most cases this should represent front and back views of the dosage form, but occasionally additional views might be needed in order to capture all of the important physical characteristics of the dosage form. Any imprint and/or symbol should be clearly identifiable, and the viewer should not normally need to rotate the image in order to read it. Images that are submitted with SPL should be included in the same directory as the SPL file.
3 | L: (SPLIMPRINT) | C21607 | SPLIMPRINT | imprint | Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink. The presence of other non-textual distinguishing marks or symbols is recorded by SPLSYMBOL. Examples: Included in SPLIMPRINT are alphanumeric text that appears on the bands of banded capsules and logos and other symbols that can be interpreted as letters or numbers. Constraints: The Observation.value must be of type Character String (ST). Excluded from SPLIMPRINT are internal and external cut-outs in the form of alphanumeric text and the letter 'R' with a circle around it (when referring to a registered trademark) and the letters 'TM' (when referring to a 'trade mark'). To record text, begin on either side or part of the dosage form. Start at the top left and progress as one would normally read a book. Enter a semicolon to show separation between words or line divisions.
3 | L: (SPLSCORING) | C21606 | SPLSCORING | scoring | Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s). Example: One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3. Constraints: Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH).
3 | L: (SPLSHAPE) | C21609 | SPLSHAPE | shape | Description: A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners. SPLSHAPE does not include embossing, scoring, debossing, or internal cut-outs. SPLSHAPE is independent of the orientation of the imprint and logo. Shapes can include: Triangle (3 sided); Square; Round; Semicircle; Pentagon (5 sided); Diamond; Double circle; Bullet; Hexagon (6 sided); Rectangle; Gear; Capsule; Heptagon (7 sided); Trapezoid; Oval; Clover; Octagon (8 sided); Tear; Freeform.
3 | L: (SPLSIZE) | C21605 | SPLSIZE | size | Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter. Example: SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter.
3 | L: (SPLSYMBOL) | C21603 | SPLSYMBOL | symbol | Definition: A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition. Score lines, letters, numbers, and internal and external cut-outs are not considered marks or symbols. See SPLSCORING and SPLIMPRINT for these characteristics. Constraints: The Observation.value must be a Boolean (BL) with <u>true</u> indicating the presence and <u>false</u> for the absence of marks or symbols. Example:
2 | A: ObservationActContextAgeType | A19757 |  |  | Definition:The ways the age of an entity involved in an act can be measured, calculated or otherwise expressed in order to provide context for another act.
3 | A: LOINCObservationActContextAgeType | A19758 |  |  | Definition:The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.
4 | L: (30972-4) | C21633 | 30972-4 | age at onset of adverse event | Definition:Age at onset of associated adverse event; no implied method of determination.
4 | L: (29553-5) | C21632 | 29553-5 | age patient qn calc | Definition:Calculated age.
4 | L: (30525-0) | C21629 | 30525-0 | age patient qn definition | Definition:General specification of age with no implied method of determination.
4 | L: (21611-9) | C21630 | 21611-9 | age patient qn est | Definition:Estimated age.
4 | L: (21612-7) | C21631 | 21612-7 | age patient qn reported | Definition:Reported age.
2 | A: ObservationAllergyTestType | A19695 |  |  | Indicates the type of allergy test performed or to be performed. E.g. the specific antibody or skin test performed
2 | S: ObservationDiagnosisTypes (DX) | S20927 | DX | ObservationDiagnosisTypes | An observation about the presence (or absence) of a particular disease state in a subject.
3 | L: (ADMDX) | C16839 | ADMDX | admitting diagnosis | Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.
3 | L: (DISDX) | C16840 | DISDX | discharge diagnosis | Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.
3 | L: (INTDX) | C16841 | INTDX | intermediate diagnosis | Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.
3 | L: (NOI) | C20026 | NOI | nature of injury | The type of injury that the injury coding specifies.
2 | A: ObservationIndicationType | A19728 |  |  | Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests
2 | S: ObservationIntoleranceType (OINT) | S21498 | OINT | intolerance | Hypersensitivity resulting in an adverse reaction upon exposure to an agent.
3 | S: ObservationAllergyType (ALG) | S21499 | ALG | Allergy | Hypersensitivity to an agent caused by an immunologic response to an initial exposure.
4 | L: (DALG) | C21504 | DALG | Drug Allergy | An allergy to a pharmaceutical product.
4 | L: (EALG) | C21506 | EALG | Environmental Allergy | An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.
4 | L: (FALG) | C21505 | FALG | Food Allergy | An allergy to a substance generally consumed for nutritional purposes.
3 | S: ObservationDrugIntoleranceType (DINT) | S21501 | DINT | Drug Intolerance | Hypersensitivity resulting in an adverse reaction upon exposure to a drug.
4 | L: (DALG) | C21504 | DALG | Drug Allergy | An allergy to a pharmaceutical product.
4 | L: (DNAINT) | C21507 | DNAINT | Drug Non-Allergy Intolerance | Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
3 | S: ObservationEnvironmentalIntoleranceType (EINT) | S21503 | EINT | Environmental Intolerance | Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.
4 | L: (EALG) | C21506 | EALG | Environmental Allergy | An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.
4 | L: (ENAINT) | C21509 | ENAINT | Environmental Non-Allergy Intolerance | Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
3 | S: ObservationFoodIntoleranceType (FINT) | S21502 | FINT | Food Intolerance | Hypersensitivity resulting in an adverse reaction upon exposure to food.
4 | L: (FALG) | C21505 | FALG | Food Allergy | An allergy to a substance generally consumed for nutritional purposes.
4 | L: (FNAINT) | C21508 | FNAINT | Food Non-Allergy Intolerance | Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
3 | S: ObservationNonAllergyIntoleranceType (NAINT) | S21500 | NAINT | Non-Allergy Intolerance | Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
4 | L: (DNAINT) | C21507 | DNAINT | Drug Non-Allergy Intolerance | Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
4 | L: (ENAINT) | C21509 | ENAINT | Environmental Non-Allergy Intolerance | Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
4 | L: (FNAINT) | C21508 | FNAINT | Food Non-Allergy Intolerance | Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
2 | A: ObservationIssueTriggerCodedObservationType | A19712 |  |  | Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.
2 | A: ObservationIssueTriggerMeasuredObservationType | A19713 |  |  | Distinguishes between the kinds of measurable observations that could be the trigger for clinical issue detection. Measurable observation types include: Lab Results, Height, Weight.
2 | A: ObservationSequenceType | A19325 |  |  |
3 | A: ECGObservationSequenceType | A19328 |  |  |
4 | A: ECGLeadTypeMDC | A19334 |  |  | ISO 11073-10101 Health informatics - Point-of-care device codes, restricted to ECG Lead Types
3 | L: (TIME_ABSOLUTE) | C19326 | TIME_ABSOLUTE | absolute time sequence | A sequence of values in the "absolute" time domain. This is the same time domain that all HL7 timestamps use. It is time as measured by the Gregorian calendar
3 | L: (TIME_RELATIVE) | C19327 | TIME_RELATIVE | relative time sequence | A sequence of values in a "relative" time domain. The time is measured relative to the earliest effective time in the Observation Series containing this sequence.
2 | A: ObservationSeriesType | A19321 |  |  |
3 | A: ECGObservationSeriesType | A19322 |  |  |
4 | L: (REPRESENTATIVE_BEAT) | C19324 | REPRESENTATIVE_BEAT | ECG representative beat waveforms | This Observation Series type contains waveforms of a "representative beat" (a.k.a. "median beat" or "average beat"). The waveform samples are measured in relative time, relative to the beginning of the beat as defined by the Observation Series effective time. The waveforms are not directly acquired from the subject, but rather algorithmically derived from the "rhythm" waveforms.
4 | L: (RHYTHM) | C19323 | RHYTHM | ECG rhythm waveforms | This Observation type contains ECG "rhythm" waveforms. The waveform samples are measured in absolute time (a.k.a. "subject time" or "effective time"). These waveforms are usually "raw" with some minimal amount of noise reduction and baseline filtering applied.
2 | A: PatientCharacteristicObservationType | A19714 |  |  | Indicates the type of characteristics a patient should have for a given therapy to be appropriate. E.g. Weight, Age, certain lab values, etc.
2 | A: PrescriptionObservationType | A19616 |  |  | Observations specific to a particular prescription to express concepts that cannot be expressed via other modeling approaches. Examples include: "Patient Medication On Hand Quantity", "Patient Medication On Hand Days Supply", "Patient Expected Supply Run-out Date", "Percentage Dispensed".
2 | L: (SEV) | C16642 | SEV | Severity Observation | Indicates a subjective evaluation of the criticality associated with another observation.
2 | A: SimpleMeasurableClinicalObservationType | A19711 |  |  | Types of measurement observations typically performed in a clinical (non-lab) setting. E.g. Height, Weight, Blood-pressure
1 | A: x_LabProcessCodes | A19656 |  |  |
2 | A: ActInfoPersistCode | A19659 |  |  | The act of storing information to long term storage.
2 | A: ActObservationVerificationCode | A19658 |  |  | The act of verifying an observations. The subject act related to the observation verification (act relationship SUBJ) must be an observation (OBS)
2 | A: ActSpecimenAccessionCode | A19662 |  |  | The accession act related to a specimen or group of specimens.
2 | A: ActSpecimenLabelCode | A19660 |  |  | The act of printing a specimen label. The printing of a label for a specimen container is a significant act in the workflow for collecting specimens.
2 | A: ActSpecimenManifestCode | A19661 |  |  | The act of adding a specimen to a transportation manifest. For example a laboratory will pack together in a carton all the specimens to be shipped to a reference lab. An electronic manifest showing all the specimens in the shippment is communicated to the
2 | A: ActSpecimenTransportCode | A19663 |  |  | Transportation of a specimen.

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Last Published: 03/27/2006 3:35 AM

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