Enum V3ActReason

    • Enum Constant Summary

      Enum Constants 
      Enum Constant Description
      _ACTACCOMMODATIONREASON
      Identifies the reason the patient is assigned to this accommodation type
      _ACTBILLABLECLINICALSERVICEREASON
      Reason for Clinical Service being performed.
      _ACTBILLABLESERVICEREASON
      Definition: This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services.
      _ACTCONSENTINFORMATIONACCESSOVERRIDEREASON
      To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety.
      _ACTCOVERAGEREASON
      Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program.
      _ACTHEALTHINFORMATIONMANAGEMENTREASON
      Description:The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention.
      _ACTINELIGIBILITYREASON
      Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy.
      _ACTINFORMATIONMANAGEMENTREASON
      Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy.
      _ACTINFORMATIONPRIVACYREASON
      Description:The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order.
      _ACTINVALIDREASON
      Description: Types of reasons why a substance is invalid for use.
      _ACTINVOICECANCELREASON
      Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping.
      _ACTNOIMMUNIZATIONREASON
      A coded description of the reason for why a patient did not receive a scheduled immunization.
      _ACTSUPPLYFULFILLMENTREFUSALREASON
      Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision.
      _CLINICALRESEARCHEVENTREASON
      Definition:Specifies the reason that an event occurred in a clinical research study.
      _CLINICALRESEARCHOBSERVATIONREASON
      Definition:SSpecifies the reason that a test was performed or observation collected in a clinical research study.
      _COMBINEDPHARMACYORDERSUSPENDREASONCODE
      Description:Indicates why the prescription should be suspended.
      _CONTROLACTNULLIFICATIONREASONCODE
      Description:Identifies reasons for nullifying (retracting) a particular control act.
      _CONTROLACTNULLIFICATIONREFUSALREASONTYPE
      Description: Reasons to refuse a transaction to be undone.
      _CONTROLACTREASON
      Identifies why a specific query, request, or other trigger event occurred.
      _COVERAGEELIGIBILITYREASON
      Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.
      _ELIGIBILITYACTREASONCODE
      Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.
      _GENERICUPDATEREASONCODE
      Description:Identifies why a change is being made to a record.
      _MEDICATIONORDERABORTREASONCODE
      Description:Indicates the reason the medication order should be aborted.
      _MEDICATIONORDERRELEASEREASONCODE
      Definition:A collection of concepts that indicate why the prescription should be released from suspended state.
      _MODIFYPRESCRIPTIONREASONTYPE
      Types of reason why a prescription is being changed.
      _PATIENTPROFILEQUERYREASONCODE
      Definition:A collection of concepts identifying why the patient's profile is being queried.
      _PHARMACYSUPPLYEVENTABORTREASON
      Definition:Identifies why the dispense event was not completed.
      _PHARMACYSUPPLYEVENTSTOCKREASONCODE
      Definition:A collection of concepts that indicates the reason for a "bulk supply" of medication.
      _PHARMACYSUPPLYREQUESTFULFILLERREVISIONREFUSALREASONCODE
      Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.
      _PHARMACYSUPPLYREQUESTRENEWALREFUSALREASONCODE
      Definition:A collection of concepts that identifies why a renewal prescription has been refused.
      _REFUSALREASONCODE
      Description: Identifies why a request to add (or activate) a record is being refused.
      _SCHEDULINGACTREASON
      Reasons for cancelling or rescheduling an Appointment
      _STATUSREVISIONREFUSALREASONCODE
      Indicates why the act revision (status update) is being refused.
      _SUBSTANCEADMINISTRATIONPERMISSIONREFUSALREASONCODE
      Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused.
      _SUBSTANCEADMINSUBSTITUTIONNOTALLOWEDREASON
      Reasons why substitution of a substance administration request is not permitted.
      _SUBSTANCEADMINSUBSTITUTIONREASON
      SubstanceAdminSubstitutionReason
      _SUPPLYORDERABORTREASONCODE
      Definition:A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed).
      _TRANSFERACTREASON
      The explanation for why a patient is moved from one location to another within the organization
      ACCRED
      Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service
      ACCREQNA
      Accommodation requested is not available.
      ADMINERROR
      Order was created with incorrect data and is changed to reflect the intended accuracy of the order.
      ADMREV
      Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures.
      ADVSTORAGE
      Description: Storage conditions caused the substance to be ineffective.
      AGE
      A person becomes eligible for a program based on age.
      ALGINT
      Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components.
      ALREADYRX
      Definition:Patient has already been given a new (renewal) prescription.
      ALTCHOICE
      Description:This therapy has been ordered as a backup to a preferred therapy.
      ALTD
      Description:The decision on which the recorded information was based was changed before the decision had an effect.
      BIORCH
      To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge.
      BLK
      The time slots previously allocated are now blocked and no longer available for booking Appointments
      BONUS
      null
      BTG
      To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use.
      CAREMGT
      To perform analytics, evaluation and other secondary uses of treatment and healthcare related information to manage the quality, efficacy, patient safety, population health, and cost effectiveness of healthcare delivery.
      CHD
      Description:The level of coverage under the policy or program is available only to children
      CHGDATA
      Description:Information has changed since the record was created.
      CLARIF
      Description:Clarification is required before the order can be acted upon.
      CLINMOD
      Order is changed based on a clinical reason.
      CLINTRCH
      To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge.
      CLINTRCHNPC
      To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge without provision of patient care.
      CLINTRCHPC
      To perform one or more operations on information for conducting scientific investigations with patient care in accordance with clinical trial protocols to obtain health care knowledge.
      CLINTRL
      To perform health care as part of the clinical trial protocol.
      CLMATTCH
      To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services.
      COC
      To perform one or more actions on information in order to organize the provision and case management of an individual’s healthcare, including: Monitoring a person's goals, needs, and preferences; acting as the communication link between two or more participants concerned with a person's health and wellness; organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person; and ensuring safe, appropriate, non-duplicative, and effective integrated care.
      COLDCHNBRK
      Description: Cold chain was not maintained for the substance.
      COMPCON
      Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency.
      COMPL
      Description:Operational activities required to meet a mandate related to an activity, product, or service
      CONTRA
      Definition:Contraindication identified
      COVAUTH
      To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services.
      COVERAGE
      To perform one or more operations on information for conducting activities related to coverage under a program or policy.
      COVSUS
      When a client has no contact with the health system for an extended period, coverage is suspended.
      CRIME
      A person becomes eligible for insurance or a program because of crime related health condition or injury.
      CT
      Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy.
      DEC
      The Patient is deceased
      DECSD
      Client deceased.
      DEP
      Description:The level of coverage under the policy or program is available only to a subscriber's dependents.
      DIS
      A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization.
      DISASTER
      To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.
      DISCONT
      Description:The medication is no longer being manufactured or is otherwise no longer available.
      DONAT
      To perform one or more operations on information used for cadaveric organ, eye or tissue donation.
      DOSECHG
      Description:The medication is being re-prescribed at a different dosage.
      DRUGHIGH
      Description:The current level of the medication in the patient's system is too high.
      DSRCH
      To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge.
      ECH
      Description:The level of coverage under the policy or program is available to an employee and his or her children.
      EDU
      null
      EIE
      Description:The information was recorded incorrectly or was recorded in the wrong record.
      ELIGDTRM
      To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy.
      ELIGVER
      To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy.
      EMP
      Description:The level of coverage under the policy or program is available only to an employee.
      EMPLOY
      A person becomes eligible for insurance provided as an employment benefit based on employment status.
      ENADMIN
      Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service
      ENROLLM
      To perform one or more operations on information used for enrolling a covered party in a program or policy.
      ER
      Moved to an error in placing the patient in the original location.
      ERTREAT
      To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a "Break the Glass" purpose of use.
      ESP
      Description:The level of coverage under the policy or program is available to an employee and his or her spouse.
      ETREAT
      To perform one or more operations on information for provision of immediately needed health care for an emergent condition.
      EXPLOT
      Description: The lot from which the substance was drawn was expired.
      FAM
      Description:The level of coverage under the policy or program is available to a subscriber's family.
      FAMPHYS
      Definition:Request for further authorization must be done through patient's family physician.
      FAMRQT
      To perform one or more operations on information in response to a request by a family member authorized by the patient.
      FILLED
      Ordered quantity has already been completely fulfilled.
      FIN
      Patient unable to pay and not covered by insurance
      FINAN
      A person becomes eligible for a program based on financial criteria.
      FIXDATA
      Description:Previously recorded information was erroneous and is being corrected.
      FLRCNV
      Accommodation is assigned for floor convenience.
      FLRSTCK
      Definition:The bulk supply is issued to replenish a ward for local dispensing.
      FOABORT
      Definition:Order to be fulfilled was aborted
      FOSUSP
      Definition:Order to be fulfilled was suspended
      FP
      Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary.
      FRAUD
      To perform one or more operations on information used for fraud detection and prevention processes.
      FRR01
      Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically.
      FRR02
      Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current.
      FRR03
      Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available Example:Lab results, diagnostic imaging, etc.
      FRR04
      Definition:Product not available or manufactured.
      FRR05
      Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.
      FRR06
      Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order.
      GOV
      To perform one or more operations on information used within government processes.
      HACCRED
      To perform one or more operations on information for conducting activities related to meeting accreditation criteria.
      HCOMPL
      To perform one or more operations on information used for conducting activities required to meet a mandate.
      HDECD
      To perform one or more operations on information used for handling deceased patient matters.
      HDIRECT
      To perform one or more operation operations on information used to manage a patient directory.
      HDM
      To perform one or more actions on information used for conducting administrative and contractual activities by or on behalf of organizational entities responsible for delivery of an individual's benefits in a healthcare program, health plan or insurance.
      HEALTH
      A person becomes eligible for a program because of a qualifying health condition or injury.
      HLEGAL
      To perform one or more operations on information for conducting activities required by legal proceeding.
      HMARKT
      To perform one or more operations on information for marketing services and products related to health care.
      HOLDDONE
      Definition:The original reason for suspending the medication has ended.
      HOLDINAP
      Definition:
      HOPERAT
      To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care.
      HOSPADM
      Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.
      HOUTCOMS
      To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions.
      HPAYMT
      To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.
      HPRGRP
      To perform one or more operations on information used for conducting activities to meet program accounting requirements.
      HQUALIMP
      To perform one or more operations on information used for conducting administrative activities to improve health care quality.
      HRESCH
      To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge.
      HSYSADMIN
      To perform one or more operations on information to administer the electronic systems used for the delivery of health care.
      HTEST
      To perform one or more operations on information that is simulated or synthetic health data used for testing system capabilities outside of a production or operational system environment.
      IMMUNE
      Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.
      IMPROV
      Definition:The patient's medical condition has nearly abated.
      INCCOVPTY
      The covered party (patient) specified with the Invoice is not correct.
      INCINVOICE
      The billing information, specified in the Invoice Elements, is not correct.
      INCPOLICY
      The policy specified with the Invoice is not correct.
      INCPROV
      The provider specified with the Invoice is not correct.
      IND
      Description:The level of coverage under the policy or program is available to an individual.
      INEFFECT
      Description:The therapy has been found to not have the desired therapeutic benefit on the patient.
      INRQSTATE
      The record is already in the requested state.
      INTOL
      Description:The patient has an intolerance to the medication.
      INVOICE
      null
      LABELING
      To perform one or more operations on information to assign, persist, and manage labels to healthcare data to characterize various aspects, such as its security classification, sensitivity, compartment, integrity, and provenance; applicable privacy, consent, security, provenance, and trust policies; and handling caveats such as purpose of use, obligations, and refrain policies.
      LABINT
      Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.
      LEGAL
      Definition:To provide information as a result of a subpoena.
      LOCKED
      Definition:The prescription may not be reassigned from the original pharmacy.
      LTC
      Definition:The bulk supply will be administered within a long term care facility.
      MARKT
      Description:
      MDATA
      Information is combined into the record.
      MED
      The medical condition of the Patient has changed
      MEDNEC
      Required for medical reasons(s).
      MEDPREC
      Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.
      MEMADMIN
      To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program.
      METAMGT
      To perform one or more operations on information to assign, persist, and manage metadata to healthcare data to characterize various aspects used for its indexing, discovery, retrieval, and processing by systems, applications, and end users.
      MILCDM
      To perform one or more operations on information for conducting activities required by military processes, procedures, policies, or law.
      MILDCRG
      To perform one or more operations on information for the process of releasing military personnel from their service obligations, which may include determining service merit, discharge benefits, and disability assessment.
      MODIFY
      Definition:Therapy has been changed and new prescription issued
      MONIT
      Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate.
      MTG
      The Physician is in a meeting.
      MULTI
      A person becomes eligible for a program based on more than one criterion.
      NEEDAPMT
      Definition:Patient must see prescriber prior to further fills.
      NEWDATA
      Description:New information has become available to supplement the record.
      NEWSTR
      Definition:The current medication will be replaced by a new strength of the same medication.
      NEWTHER
      Definition:A new therapy will be commenced when current supply exhausted.
      NOAGNTPERM
      Description: The agent does not have permission.
      NOMATCH
      Description: There is no match.
      NONAVAIL
      Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.
      NOPERM
      Description: There is no permission.
      NOPICK
      Definition:Patient did not come to get medication
      NOPRODMTCH
      Description: There is no match for the product in the master file repository.
      NORECMTCH
      Description: There is no match for the record in the database.
      NOREQ
      Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed.
      NOSERMTCH
      Description: There is no match for the service in the master file repository.
      NOTAVAIL
      Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient.
      NOTCOVER
      Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy.
      NOTPAT
      Definition:Patient no longer or has never been under this prescribers care.
      NOUSERPERM
      Definition:The user does not have permission
      NOUSRPERM
      Description: The user does not have permission.
      NOVERMTCH
      Description: There is no match for the record and version.
      NPT
      Definition:The observation or test was neither defined or scheduled in the study protocol.
      NULL
      added to help the parsers
      OFFICE
      Definition:The bulk supply is intended for general clinician office use.
      ONHOLD
      Definition:This medication is on hold.
      OPERAT
      Description:Administrative and contractual processes required to support an activity, product, or service
      OS
      In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock.
      OSTOCK
      Definition:There was no supply of the product on hand to perform the service.
      OUTCOMS
      Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service
      OUTSIDESCHED
      The substance was administered outside of the recommended schedule or practice.
      OVRER
      To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention.
      OVRINCOMP
      To perform one or more operations on information to which the patient has not consented because deemed incompetent to provide consent.
      OVRPJ
      To perform one or more operations on information to which the patient declined to consent for providing health care.
      OVRPS
      To perform one or more operations on information to which the patient has not consented for public safety reasons.
      OVRTPS
      To perform one or more operations on information to which the patient has not consented for third party safety.
      PAT
      The Patient requested the action
      PATADMIN
      To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient.
      PATCAR
      Definition:To obtain records as part of patient care.
      PATDEC
      Definition:Patient changed their mind regarding obtaining medication
      PATINELIG
      Definition:Patient not eligible for drug
      PATOBJ
      Definition:The patient or their guardian objects to receiving the vaccine.
      PATREQ
      Definition:Patient requests information from their profile.
      PATRQT
      To perform one or more operations on information in response to a patient's request.
      PATSFTY
      To perform one or more operations on information in processes related to ensuring the safety of health care.
      PAYMT
      Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service
      PERFMSR
      To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions.
      PHARM
      Definition:The bulk supply is being transferred to another dispensing facility to.
      PHILISOP
      Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.
      PHY
      The Physician requested the action
      PNC
      A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy.
      POARCH
      To perform one or more operations on information, including genealogical pedigrees, historical records, surveys, family health data, health records, and genetic information, for conducting scientific investigations to obtain health care knowledge.
      POPHLTH
      To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program.
      PPT
      Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol.
      PRCREV
      Definition:To evaluate the provider's current practice for professional-improvement reasons.
      PRECLINTRCH
      To perform one or more operations on information in preparation for conducting scientific investigation to obtain health care knowledge, such as research on animals or review of patient health records, to determine the feasibility of a clinical trial study; assist with protocol design; or in preparation for institutional review board or ethics committee approval process.
      PREFUS
      Description:The patient refused to take the product.
      PREG
      Description:The patient is pregnant or breast feeding.
      PRGRPT
      Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service
      PRNA
      Description:This product is not available or manufactured.
      PROA
      null
      PRODRECALL
      Description: The substance was recalled by the manufacturer.
      PROG
      Definition:The bulk supply is intended for dispensing according to a specific program.
      PROTUNMET
      Definition:Patient does not meet required protocol
      PROVUNAUTH
      Definition:Provider is not authorized to prescribe or dispense
      PUBHLTH
      To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions.
      PURPOSEOFUSE
      Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives.
      PWATRNY
      To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative.
      QUALIMP
      Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service
      QUANTCHG
      Definition:Patient requested a revised quantity of medication
      RECALL
      Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation.
      RECORDMGT
      To perform one or more operations on information used within the health records management process.
      RECOV
      null
      REGERR
      Client was registered in error.
      REGUL
      Description:Review for the purpose of regulatory compliance.
      RELIG
      Definition:The patient or their guardian objects to receiving the vaccine on religious grounds.
      REMITADV
      To perform one or more operations on information about the amount remitted for a health care claim.
      REPLACE
      Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it.
      REPLACEFIX
      Description:Current order was issued with incorrect data and a new order has/will be created to replace it.
      RESCH
      Description:Investigative activities conducted for the purposes of obtaining knowledge
      RET
      Definition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol.
      RETRO
      null
      RQ
      Moved at the request of the patient.
      RR
      Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution.
      RSRCH
      Definition:To provide research data, as authorized by the patient.
      SALG
      Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
      SCH
      Definition:The event occurred due to it being scheduled in the research protocol.
      SDDI
      Description:The drug interacts with a short-term treatment that is more urgently required.
      SDUPTHER
      Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy.
      SINTOL
      Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
      SPC
      Description:The level of coverage under the policy or program is available to a subscriber's spouse and children
      SPO
      Description:The level of coverage under the policy or program is available only to a subscribers spouse
      SRVC
      Description:Provision of a service, product, or capability to an individual or organization
      STATUTORY
      A person becomes eligible for a program based on statutory criteria.
      STOPMED
      Renewing or original prescriber informed patient to stop using the medication.
      SUPNWK
      To perform one or more operations on information in response to a request by a person authorized by the patient.
      SURG
      Description:The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future.
      SYSADMN
      Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service
      SYSDEV
      To perform one or more operations on information to design, develop, implement, test, or deploy a healthcare system or application.
      THERCHAR
      The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications.
      THREAT
      To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.
      TOOEARLY
      Definition:The patient should have medication remaining.
      TRAIN
      To perform one or more operations on information used in training and education.
      TRAN
      null
      TRANSRCH
      To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge related to evidence based medicine during the course of providing healthcare treatment.
      TREAT
      To perform one or more operations on information for provision of health care.
      TRIAL
      Definition: The specific manufactured drug is part of a clinical trial.
      TRM
      Definition:The event occurred in order to terminate the subject's participation in the study.
      UMDATA
      Information is separated from the record.
      UNABLE
      Description:
      UNKWNTARGET
      Definition:The target facility does not recognize the dispensing facility.
      UNS
      Definition:The event that occurred was initiated by a study participant (e.g.
      UPT
      :The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol.
      VACEFF
      Definition:The intended vaccine has expired or is otherwise believed to no longer be effective.
      VACSAF
      Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety.
      VALIDATION
      Description:To validate the patient's record.
      VEHIC
      A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury.
      WASHOUT
      Description:The patient was previously receiving a medication contraindicated with the current medication.
      WORK
      A person becomes eligible for insurance or a program because of a work related health condition or injury.
      WRNGVER
      Description: The record and version requested to update is not the current version.
    • Enum Constant Detail

      • FLRCNV

        public static final V3ActReason FLRCNV
        Accommodation is assigned for floor convenience.
      • PAT

        public static final V3ActReason PAT
        The Patient requested the action
      • _ACTCOVERAGEREASON

        public static final V3ActReason _ACTCOVERAGEREASON
        Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.
      • _ELIGIBILITYACTREASONCODE

        public static final V3ActReason _ELIGIBILITYACTREASONCODE
        Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.
      • _ACTINELIGIBILITYREASON

        public static final V3ActReason _ACTINELIGIBILITYREASON
        Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy. Examples are client deceased & adopted client has been given a new policy identifier.
      • COVSUS

        public static final V3ActReason COVSUS
        When a client has no contact with the health system for an extended period, coverage is suspended. Client will be reinstated to original start date upon proof of identification, residency etc. Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect).
      • _COVERAGEELIGIBILITYREASON

        public static final V3ActReason _COVERAGEELIGIBILITYREASON
        Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.
      • AGE

        public static final V3ActReason AGE
        A person becomes eligible for a program based on age. Example: In the U.S., a person who is 65 years of age or older is eligible for Medicare.
      • CRIME

        public static final V3ActReason CRIME
        A person becomes eligible for insurance or a program because of crime related health condition or injury. Example: A person is a claimant under the U.S. Crime Victims Compensation program.
      • DIS

        public static final V3ActReason DIS
        A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization.
      • EMPLOY

        public static final V3ActReason EMPLOY
        A person becomes eligible for insurance provided as an employment benefit based on employment status.
      • FINAN

        public static final V3ActReason FINAN
        A person becomes eligible for a program based on financial criteria. Example: A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP.
      • HEALTH

        public static final V3ActReason HEALTH
        A person becomes eligible for a program because of a qualifying health condition or injury. Examples: A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program
      • MULTI

        public static final V3ActReason MULTI
        A person becomes eligible for a program based on more than one criterion. Examples: In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT). A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles.
      • PNC

        public static final V3ActReason PNC
        A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy. Example: A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises.
      • STATUTORY

        public static final V3ActReason STATUTORY
        A person becomes eligible for a program based on statutory criteria. Examples: A person is a member of an indigenous group, a veteran of military service, or in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security.
      • VEHIC

        public static final V3ActReason VEHIC
        A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury.
      • WORK

        public static final V3ActReason WORK
        A person becomes eligible for insurance or a program because of a work related health condition or injury. Example: A person is a claimant under the U.S. Black Lung Program.
      • _ACTINFORMATIONMANAGEMENTREASON

        public static final V3ActReason _ACTINFORMATIONMANAGEMENTREASON
        Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy.
      • _ACTHEALTHINFORMATIONMANAGEMENTREASON

        public static final V3ActReason _ACTHEALTHINFORMATIONMANAGEMENTREASON
        Description:The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention.
      • _ACTCONSENTINFORMATIONACCESSOVERRIDEREASON

        public static final V3ActReason _ACTCONSENTINFORMATIONACCESSOVERRIDEREASON
        To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety. Usage Notes: Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.
      • OVRER

        public static final V3ActReason OVRER
        To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention. Usage Notes: The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record.
      • OVRINCOMP

        public static final V3ActReason OVRINCOMP
        To perform one or more operations on information to which the patient has not consented because deemed incompetent to provide consent. Usage Note: Maps to v2 CON-16 Subject Competence Indicator (ID) 01791 Definition: Identifies whether the subject was deemed competent to provide consent. Refer to table HL7 Table 0136 - Yes/No Indicator and CON-23 Non-Subject Consenter Reason User-defined Table 0502 - Non-Subject Consenter Reason code NC "Subject is not competent to consent".
      • OVRPJ

        public static final V3ActReason OVRPJ
        To perform one or more operations on information to which the patient declined to consent for providing health care. Usage Notes: The patient, while able to give consent, has not. However the provider believes it is in the patient's interest to access the record without patient consent.
      • OVRPS

        public static final V3ActReason OVRPS
        To perform one or more operations on information to which the patient has not consented for public safety reasons. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to public safety.
      • OVRTPS

        public static final V3ActReason OVRTPS
        To perform one or more operations on information to which the patient has not consented for third party safety. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties.
      • PURPOSEOFUSE

        public static final V3ActReason PURPOSEOFUSE
        Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives. Usage Notes: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.
      • HMARKT

        public static final V3ActReason HMARKT
        To perform one or more operations on information for marketing services and products related to health care.
      • HOPERAT

        public static final V3ActReason HOPERAT
        To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care.
      • CAREMGT

        public static final V3ActReason CAREMGT
        To perform analytics, evaluation and other secondary uses of treatment and healthcare related information to manage the quality, efficacy, patient safety, population health, and cost effectiveness of healthcare delivery. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment. Usage Note: The concept of care management is narrower than the list of activities related to more general organizational objectives such as provider profiling, education of healthcare and non-healthcare professionals; insurance underwriting, premium rating, reinsurance; organizational legal, medical review, auditing, compliance and fraud and abuse detection; business planning, development, and restructuring; fund-raising; and customer service. Map: Maps to ISO 14265 Classification Term "Health service management and quality assurance" described as "To inform persons or processes responsible for determining the availability, quality, safety, equity and cost-effectiveness of health care services." There is a semantic gap in concepts. This classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity.
      • DONAT

        public static final V3ActReason DONAT
        To perform one or more operations on information used for cadaveric organ, eye or tissue donation.
      • FRAUD

        public static final V3ActReason FRAUD
        To perform one or more operations on information used for fraud detection and prevention processes.
      • GOV

        public static final V3ActReason GOV
        To perform one or more operations on information used within government processes.
      • HACCRED

        public static final V3ActReason HACCRED
        To perform one or more operations on information for conducting activities related to meeting accreditation criteria.
      • HCOMPL

        public static final V3ActReason HCOMPL
        To perform one or more operations on information used for conducting activities required to meet a mandate.
      • HDECD

        public static final V3ActReason HDECD
        To perform one or more operations on information used for handling deceased patient matters.
      • HDIRECT

        public static final V3ActReason HDIRECT
        To perform one or more operation operations on information used to manage a patient directory. Examples: facility enterprise payer health information exchange patient directory
      • HDM

        public static final V3ActReason HDM
        To perform one or more actions on information used for conducting administrative and contractual activities by or on behalf of organizational entities responsible for delivery of an individual's benefits in a healthcare program, health plan or insurance. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment. Usage Note: Examples of activities conducted under this purpose of use: provider profiling, risk adjustment, underwriting, fraud and abuse, quality improvement population health and care management. Aligns with HIPAA Operation POU minus coordination of care or other treatment related activities. Similar to the description in SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking. Map: Maps to ISO 14265 Classification Term "Administration of care for an individual subject of care" described as "To inform persons or processes responsible for enabling the availability of resources or funding or permissions for providing health care services to the subject of care." However, this classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity.
      • HLEGAL

        public static final V3ActReason HLEGAL
        To perform one or more operations on information for conducting activities required by legal proceeding.
      • HOUTCOMS

        public static final V3ActReason HOUTCOMS
        To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions.
      • HPRGRP

        public static final V3ActReason HPRGRP
        To perform one or more operations on information used for conducting activities to meet program accounting requirements.
      • HQUALIMP

        public static final V3ActReason HQUALIMP
        To perform one or more operations on information used for conducting administrative activities to improve health care quality.
      • HSYSADMIN

        public static final V3ActReason HSYSADMIN
        To perform one or more operations on information to administer the electronic systems used for the delivery of health care.
      • LABELING

        public static final V3ActReason LABELING
        To perform one or more operations on information to assign, persist, and manage labels to healthcare data to characterize various aspects, such as its security classification, sensitivity, compartment, integrity, and provenance; applicable privacy, consent, security, provenance, and trust policies; and handling caveats such as purpose of use, obligations, and refrain policies. Label management includes classification of target data by constructing and binding of a label set per applicable policies, security policy information file semantics, and classification guides. Label management also includes process and procedures for subsequent revision of a label for, e.g., reclassification, downgrading classification, and declassification. Label revisions may be triggered by, e.g., expiry of classification period; changes in applicable policy, e.g., revocation of a consent directive; or changes in the governing policy domain in which the data is relocated or a copy of the data is sent. If a label is revised, an audit log should be kept and the provenance of the label changes should be tracked.
      • METAMGT

        public static final V3ActReason METAMGT
        To perform one or more operations on information to assign, persist, and manage metadata to healthcare data to characterize various aspects used for its indexing, discovery, retrieval, and processing by systems, applications, and end users. For example, master index identifier, media type, and location.
      • MEMADMIN

        public static final V3ActReason MEMADMIN
        To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program.
      • MILCDM

        public static final V3ActReason MILCDM
        To perform one or more operations on information for conducting activities required by military processes, procedures, policies, or law.
      • PATADMIN

        public static final V3ActReason PATADMIN
        To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient.
      • PATSFTY

        public static final V3ActReason PATSFTY
        To perform one or more operations on information in processes related to ensuring the safety of health care.
      • PERFMSR

        public static final V3ActReason PERFMSR
        To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions.
      • RECORDMGT

        public static final V3ActReason RECORDMGT
        To perform one or more operations on information used within the health records management process.
      • SYSDEV

        public static final V3ActReason SYSDEV
        To perform one or more operations on information to design, develop, implement, test, or deploy a healthcare system or application.
      • HTEST

        public static final V3ActReason HTEST
        To perform one or more operations on information that is simulated or synthetic health data used for testing system capabilities outside of a production or operational system environment. Usage Note: Data marked with a HTEST security label enables an access control system to permit interfacing systems or end users provisioned with a clearance, which includes a HTEST purpose of use attribute, to test, verify, or validate that a system or application will operate in production as intended based on design specifications.
      • TRAIN

        public static final V3ActReason TRAIN
        To perform one or more operations on information used in training and education.
      • HPAYMT

        public static final V3ActReason HPAYMT
        To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.
      • CLMATTCH

        public static final V3ActReason CLMATTCH
        To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services.
      • COVAUTH

        public static final V3ActReason COVAUTH
        To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services.
      • COVERAGE

        public static final V3ActReason COVERAGE
        To perform one or more operations on information for conducting activities related to coverage under a program or policy.
      • ELIGDTRM

        public static final V3ActReason ELIGDTRM
        To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment.
      • ELIGVER

        public static final V3ActReason ELIGVER
        To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy. May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays.
      • ENROLLM

        public static final V3ActReason ENROLLM
        To perform one or more operations on information used for enrolling a covered party in a program or policy. May entail recording of covered party's and any dependent's demographic information and benefit choices.
      • MILDCRG

        public static final V3ActReason MILDCRG
        To perform one or more operations on information for the process of releasing military personnel from their service obligations, which may include determining service merit, discharge benefits, and disability assessment.
      • REMITADV

        public static final V3ActReason REMITADV
        To perform one or more operations on information about the amount remitted for a health care claim.
      • HRESCH

        public static final V3ActReason HRESCH
        To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data iincludes basic and applied research such as biomedical, population origin or ancestry, translational research, and disease, discipline, specialty specific healthcare research and clinical trial research.
      • BIORCH

        public static final V3ActReason BIORCH
        To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified biomedical basic or applied research. For example, research on rare plants to determine whether biologic properties may be useful for pharmaceutical development. May be used in combination with clinical trial and other healthcare research purposes of use.
      • CLINTRCH

        public static final V3ActReason CLINTRCH
        To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge.
      • CLINTRCHNPC

        public static final V3ActReason CLINTRCHNPC
        To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge without provision of patient care. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, a clinical trial conducted on laboratory specimens collected from a specified patient population.
      • CLINTRCHPC

        public static final V3ActReason CLINTRCHPC
        To perform one or more operations on information for conducting scientific investigations with patient care in accordance with clinical trial protocols to obtain health care knowledge. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, an "off-label" drug used for cancer therapy administer to a specified patient population.
      • PRECLINTRCH

        public static final V3ActReason PRECLINTRCH
        To perform one or more operations on information in preparation for conducting scientific investigation to obtain health care knowledge, such as research on animals or review of patient health records, to determine the feasibility of a clinical trial study; assist with protocol design; or in preparation for institutional review board or ethics committee approval process. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research.
      • DSRCH

        public static final V3ActReason DSRCH
        To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified conditions, diagnosis, or disease healthcare research. For example, conducting cancer research by testing reaction of tumor cells to certain biologics. May be used in combination with clinical trial and other healthcare research purposes of use.
      • POARCH

        public static final V3ActReason POARCH
        To perform one or more operations on information, including genealogical pedigrees, historical records, surveys, family health data, health records, and genetic information, for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to population origins and/or ancestry healthcare research. For example, gathering genetic specimens from a specific population in order to determine the ancestry and population origins of that group. May be used in combination with clinical trial and other healthcare research purposes of use.
      • TRANSRCH

        public static final V3ActReason TRANSRCH
        To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge related to evidence based medicine during the course of providing healthcare treatment. Sometimes referred to as "bench to bedside", which is the iterative feedback loop between healthcare research and clinical trials with input from information collected in the course of routine provision of healthcare. For example, by extending a patient encounter to conduct a survey related to a research topic such as attitudes about use of a wellness device that a patient agreed to use. May be used in combination with clinical trial and other healthcare research purposes of use.
      • PATRQT

        public static final V3ActReason PATRQT
        To perform one or more operations on information in response to a patient's request.
      • FAMRQT

        public static final V3ActReason FAMRQT
        To perform one or more operations on information in response to a request by a family member authorized by the patient.
      • PWATRNY

        public static final V3ActReason PWATRNY
        To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative.
      • SUPNWK

        public static final V3ActReason SUPNWK
        To perform one or more operations on information in response to a request by a person authorized by the patient.
      • PUBHLTH

        public static final V3ActReason PUBHLTH
        To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions.
      • DISASTER

        public static final V3ActReason DISASTER
        To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.
      • THREAT

        public static final V3ActReason THREAT
        To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.
      • TREAT

        public static final V3ActReason TREAT
        To perform one or more operations on information for provision of health care.
      • CLINTRL

        public static final V3ActReason CLINTRL
        To perform health care as part of the clinical trial protocol.
      • COC

        public static final V3ActReason COC
        To perform one or more actions on information in order to organize the provision and case management of an individual’s healthcare, including: Monitoring a person's goals, needs, and preferences; acting as the communication link between two or more participants concerned with a person's health and wellness; organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person; and ensuring safe, appropriate, non-duplicative, and effective integrated care. Usage Note: Use when describing these functions: 1. Monitoring a person’s goals, needs, and preferences. 2. Acting as the communication link between two or more participants concerned with a person's health and wellness. 3. Organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person. 4. Ensuring safe, appropriate, non-duplicative, and effective integrated care. The goal is to clearly differentiate this type of coordination of care from HIPAA Operations by specifying that these actions on information are undertaken in the provision of healthcare treatment. For similar uses of this concept, see SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking, which differentiates concepts of care coordination and case management for the provision of treatment as specifically distinct from activities related to health care delivery management and the operations of organizational entities involved in the delivery of healthcare. Map: Maps to ISO 14265 Classification Terms: "Support of care activities within the provider organisation for an individual subject of care" described as "To inform persons or processes enabling others to provide health care services to the subject of care." "Subject of Care Uses" described as "To inform the subject of care in support of his or her own interests."
      • ETREAT

        public static final V3ActReason ETREAT
        To perform one or more operations on information for provision of immediately needed health care for an emergent condition.
      • BTG

        public static final V3ActReason BTG
        To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access. Map: Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.
      • ERTREAT

        public static final V3ActReason ERTREAT
        To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a "Break the Glass" purpose of use. Map:Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure. There is a semantic gap in concepts. This classification term is described as activities “to inform persons� rather than the rationale for performing actions/operations on information related to the activity.
      • POPHLTH

        public static final V3ActReason POPHLTH
        To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program.
      • _ACTINFORMATIONPRIVACYREASON

        public static final V3ActReason _ACTINFORMATIONPRIVACYREASON
        Description:The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order.
      • OPERAT

        public static final V3ActReason OPERAT
        Description:Administrative and contractual processes required to support an activity, product, or service
      • LEGAL

        public static final V3ActReason LEGAL
        Definition:To provide information as a result of a subpoena.
      • ACCRED

        public static final V3ActReason ACCRED
        Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service
      • COMPL

        public static final V3ActReason COMPL
        Description:Operational activities required to meet a mandate related to an activity, product, or service
      • ENADMIN

        public static final V3ActReason ENADMIN
        Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service
      • OUTCOMS

        public static final V3ActReason OUTCOMS
        Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service
      • PRGRPT

        public static final V3ActReason PRGRPT
        Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service
      • QUALIMP

        public static final V3ActReason QUALIMP
        Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service
      • SYSADMN

        public static final V3ActReason SYSADMN
        Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service
      • PAYMT

        public static final V3ActReason PAYMT
        Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service
      • RESCH

        public static final V3ActReason RESCH
        Description:Investigative activities conducted for the purposes of obtaining knowledge
      • SRVC

        public static final V3ActReason SRVC
        Description:Provision of a service, product, or capability to an individual or organization
      • ADVSTORAGE

        public static final V3ActReason ADVSTORAGE
        Description: Storage conditions caused the substance to be ineffective.
      • COLDCHNBRK

        public static final V3ActReason COLDCHNBRK
        Description: Cold chain was not maintained for the substance.
      • EXPLOT

        public static final V3ActReason EXPLOT
        Description: The lot from which the substance was drawn was expired.
      • OUTSIDESCHED

        public static final V3ActReason OUTSIDESCHED
        The substance was administered outside of the recommended schedule or practice.
      • PRODRECALL

        public static final V3ActReason PRODRECALL
        Description: The substance was recalled by the manufacturer.
      • _ACTINVOICECANCELREASON

        public static final V3ActReason _ACTINVOICECANCELREASON
        Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping.
      • INCCOVPTY

        public static final V3ActReason INCCOVPTY
        The covered party (patient) specified with the Invoice is not correct.
      • INCINVOICE

        public static final V3ActReason INCINVOICE
        The billing information, specified in the Invoice Elements, is not correct. This could include incorrect costing for items included in the Invoice.
      • INCPOLICY

        public static final V3ActReason INCPOLICY
        The policy specified with the Invoice is not correct. For example, it may belong to another Adjudicator or Covered Party.
      • INCPROV

        public static final V3ActReason INCPROV
        The provider specified with the Invoice is not correct.
      • _ACTNOIMMUNIZATIONREASON

        public static final V3ActReason _ACTNOIMMUNIZATIONREASON
        A coded description of the reason for why a patient did not receive a scheduled immunization. (important for public health strategy
      • IMMUNE

        public static final V3ActReason IMMUNE
        Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.
      • MEDPREC

        public static final V3ActReason MEDPREC
        Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.
      • OSTOCK

        public static final V3ActReason OSTOCK
        Definition:There was no supply of the product on hand to perform the service.
      • PATOBJ

        public static final V3ActReason PATOBJ
        Definition:The patient or their guardian objects to receiving the vaccine.
      • PHILISOP

        public static final V3ActReason PHILISOP
        Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.
      • RELIG

        public static final V3ActReason RELIG
        Definition:The patient or their guardian objects to receiving the vaccine on religious grounds.
      • VACEFF

        public static final V3ActReason VACEFF
        Definition:The intended vaccine has expired or is otherwise believed to no longer be effective. Example:Due to temperature exposure.
      • VACSAF

        public static final V3ActReason VACSAF
        Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety.
      • _ACTSUPPLYFULFILLMENTREFUSALREASON

        public static final V3ActReason _ACTSUPPLYFULFILLMENTREFUSALREASON
        Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. "Suspect fraud", "Possible abuse", "Contraindicated". (used when capturing 'refusal to fill' annotations)
      • FRR01

        public static final V3ActReason FRR01
        Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example:A verbal stop, a fax, etc.
      • FRR02

        public static final V3ActReason FRR02
        Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current.
      • FRR03

        public static final V3ActReason FRR03
        Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available Example:Lab results, diagnostic imaging, etc.
      • FRR04

        public static final V3ActReason FRR04
        Definition:Product not available or manufactured. Cannot supply.
      • FRR05

        public static final V3ActReason FRR05
        Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.
      • FRR06

        public static final V3ActReason FRR06
        Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order. Example:Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc.
      • RET

        public static final V3ActReason RET
        Definition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol.
      • SCH

        public static final V3ActReason SCH
        Definition:The event occurred due to it being scheduled in the research protocol.
      • TRM

        public static final V3ActReason TRM
        Definition:The event occurred in order to terminate the subject's participation in the study.
      • UNS

        public static final V3ActReason UNS
        Definition:The event that occurred was initiated by a study participant (e.g. the subject or the investigator), and did not occur for protocol reasons.
      • _CLINICALRESEARCHOBSERVATIONREASON

        public static final V3ActReason _CLINICALRESEARCHOBSERVATIONREASON
        Definition:SSpecifies the reason that a test was performed or observation collected in a clinical research study. Note:This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications.
      • NPT

        public static final V3ActReason NPT
        Definition:The observation or test was neither defined or scheduled in the study protocol.
      • PPT

        public static final V3ActReason PPT
        Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol.
      • UPT

        public static final V3ActReason UPT
        :The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol.
      • ALTCHOICE

        public static final V3ActReason ALTCHOICE
        Description:This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.
      • CLARIF

        public static final V3ActReason CLARIF
        Description:Clarification is required before the order can be acted upon.
      • DRUGHIGH

        public static final V3ActReason DRUGHIGH
        Description:The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.
      • HOSPADM

        public static final V3ActReason HOSPADM
        Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.
      • LABINT

        public static final V3ActReason LABINT
        Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.
      • NONAVAIL

        public static final V3ActReason NONAVAIL
        Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.
      • PREG

        public static final V3ActReason PREG
        Description:The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.
      • SALG

        public static final V3ActReason SALG
        Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
      • SDDI

        public static final V3ActReason SDDI
        Description:The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
      • SDUPTHER

        public static final V3ActReason SDUPTHER
        Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete.
      • SINTOL

        public static final V3ActReason SINTOL
        Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
      • SURG

        public static final V3ActReason SURG
        Description:The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery.
      • WASHOUT

        public static final V3ActReason WASHOUT
        Description:The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.
      • ALTD

        public static final V3ActReason ALTD
        Description:The decision on which the recorded information was based was changed before the decision had an effect. Example:Aborted prescription before patient left office, released prescription before suspend took effect.
      • EIE

        public static final V3ActReason EIE
        Description:The information was recorded incorrectly or was recorded in the wrong record.
      • NORECMTCH

        public static final V3ActReason NORECMTCH
        Description: There is no match for the record in the database.
      • INRQSTATE

        public static final V3ActReason INRQSTATE
        The record is already in the requested state.
      • NOPRODMTCH

        public static final V3ActReason NOPRODMTCH
        Description: There is no match for the product in the master file repository.
      • NOSERMTCH

        public static final V3ActReason NOSERMTCH
        Description: There is no match for the service in the master file repository.
      • NOVERMTCH

        public static final V3ActReason NOVERMTCH
        Description: There is no match for the record and version.
      • NOPERM

        public static final V3ActReason NOPERM
        Description: There is no permission.
      • NOAGNTPERM

        public static final V3ActReason NOAGNTPERM
        Description: The agent does not have permission.
      • NOUSRPERM

        public static final V3ActReason NOUSRPERM
        Description: The user does not have permission.
      • WRNGVER

        public static final V3ActReason WRNGVER
        Description: The record and version requested to update is not the current version.
      • _CONTROLACTREASON

        public static final V3ActReason _CONTROLACTREASON
        Identifies why a specific query, request, or other trigger event occurred.
      • DISCONT

        public static final V3ActReason DISCONT
        Description:The medication is no longer being manufactured or is otherwise no longer available.
      • INEFFECT

        public static final V3ActReason INEFFECT
        Description:The therapy has been found to not have the desired therapeutic benefit on the patient.
      • MONIT

        public static final V3ActReason MONIT
        Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate.
      • NOREQ

        public static final V3ActReason NOREQ
        Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed.
      • NOTCOVER

        public static final V3ActReason NOTCOVER
        Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy.
      • PREFUS

        public static final V3ActReason PREFUS
        Description:The patient refused to take the product.
      • RECALL

        public static final V3ActReason RECALL
        Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation.
      • REPLACE

        public static final V3ActReason REPLACE
        Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it.
      • DOSECHG

        public static final V3ActReason DOSECHG
        Description:The medication is being re-prescribed at a different dosage.
      • REPLACEFIX

        public static final V3ActReason REPLACEFIX
        Description:Current order was issued with incorrect data and a new order has/will be created to replace it.
      • HOLDDONE

        public static final V3ActReason HOLDDONE
        Definition:The original reason for suspending the medication has ended.
      • ADMINERROR

        public static final V3ActReason ADMINERROR
        Order was created with incorrect data and is changed to reflect the intended accuracy of the order.
      • CLINMOD

        public static final V3ActReason CLINMOD
        Order is changed based on a clinical reason.
      • CONTRA

        public static final V3ActReason CONTRA
        Definition:Contraindication identified
      • FOABORT

        public static final V3ActReason FOABORT
        Definition:Order to be fulfilled was aborted
      • FOSUSP

        public static final V3ActReason FOSUSP
        Definition:Order to be fulfilled was suspended
      • NOPICK

        public static final V3ActReason NOPICK
        Definition:Patient did not come to get medication
      • PATDEC

        public static final V3ActReason PATDEC
        Definition:Patient changed their mind regarding obtaining medication
      • QUANTCHG

        public static final V3ActReason QUANTCHG
        Definition:Patient requested a revised quantity of medication
      • FLRSTCK

        public static final V3ActReason FLRSTCK
        Definition:The bulk supply is issued to replenish a ward for local dispensing. (Includes both mobile and fixed-location ward stocks.)
      • LTC

        public static final V3ActReason LTC
        Definition:The bulk supply will be administered within a long term care facility.
      • OFFICE

        public static final V3ActReason OFFICE
        Definition:The bulk supply is intended for general clinician office use.
      • PHARM

        public static final V3ActReason PHARM
        Definition:The bulk supply is being transferred to another dispensing facility to. Example:Alleviate a temporary shortage.
      • PROG

        public static final V3ActReason PROG
        Definition:The bulk supply is intended for dispensing according to a specific program. Example:Mass immunization.
      • ALREADYRX

        public static final V3ActReason ALREADYRX
        Definition:Patient has already been given a new (renewal) prescription.
      • FAMPHYS

        public static final V3ActReason FAMPHYS
        Definition:Request for further authorization must be done through patient's family physician.
      • MODIFY

        public static final V3ActReason MODIFY
        Definition:Therapy has been changed and new prescription issued
      • NEEDAPMT

        public static final V3ActReason NEEDAPMT
        Definition:Patient must see prescriber prior to further fills.
      • NOTAVAIL

        public static final V3ActReason NOTAVAIL
        Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient.
      • NOTPAT

        public static final V3ActReason NOTPAT
        Definition:Patient no longer or has never been under this prescribers care.
      • ONHOLD

        public static final V3ActReason ONHOLD
        Definition:This medication is on hold.
      • PRNA

        public static final V3ActReason PRNA
        Description:This product is not available or manufactured.
      • STOPMED

        public static final V3ActReason STOPMED
        Renewing or original prescriber informed patient to stop using the medication.
      • TOOEARLY

        public static final V3ActReason TOOEARLY
        Definition:The patient should have medication remaining.
      • _SUPPLYORDERABORTREASONCODE

        public static final V3ActReason _SUPPLYORDERABORTREASONCODE
        Definition:A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed).
      • IMPROV

        public static final V3ActReason IMPROV
        Definition:The patient's medical condition has nearly abated.
      • INTOL

        public static final V3ActReason INTOL
        Description:The patient has an intolerance to the medication.
      • NEWSTR

        public static final V3ActReason NEWSTR
        Definition:The current medication will be replaced by a new strength of the same medication.
      • NEWTHER

        public static final V3ActReason NEWTHER
        Definition:A new therapy will be commenced when current supply exhausted.
      • CHGDATA

        public static final V3ActReason CHGDATA
        Description:Information has changed since the record was created.
      • FIXDATA

        public static final V3ActReason FIXDATA
        Description:Previously recorded information was erroneous and is being corrected.
      • MDATA

        public static final V3ActReason MDATA
        Information is combined into the record.
      • NEWDATA

        public static final V3ActReason NEWDATA
        Description:New information has become available to supplement the record.
      • UMDATA

        public static final V3ActReason UMDATA
        Information is separated from the record.
      • ADMREV

        public static final V3ActReason ADMREV
        Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures.
      • PATCAR

        public static final V3ActReason PATCAR
        Definition:To obtain records as part of patient care.
      • PATREQ

        public static final V3ActReason PATREQ
        Definition:Patient requests information from their profile.
      • PRCREV

        public static final V3ActReason PRCREV
        Definition:To evaluate the provider's current practice for professional-improvement reasons.
      • REGUL

        public static final V3ActReason REGUL
        Description:Review for the purpose of regulatory compliance.
      • RSRCH

        public static final V3ActReason RSRCH
        Definition:To provide research data, as authorized by the patient.
      • VALIDATION

        public static final V3ActReason VALIDATION
        Description:To validate the patient's record. Example:Merging or unmerging records.
      • LOCKED

        public static final V3ActReason LOCKED
        Definition:The prescription may not be reassigned from the original pharmacy.
      • UNKWNTARGET

        public static final V3ActReason UNKWNTARGET
        Definition:The target facility does not recognize the dispensing facility.
      • _REFUSALREASONCODE

        public static final V3ActReason _REFUSALREASONCODE
        Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.
      • BLK

        public static final V3ActReason BLK
        The time slots previously allocated are now blocked and no longer available for booking Appointments
      • FIN

        public static final V3ActReason FIN
        Patient unable to pay and not covered by insurance
      • MED

        public static final V3ActReason MED
        The medical condition of the Patient has changed
      • MTG

        public static final V3ActReason MTG
        The Physician is in a meeting. For example, he/she may request administrative time to talk to family after appointment
      • PHY

        public static final V3ActReason PHY
        The Physician requested the action
      • FILLED

        public static final V3ActReason FILLED
        Ordered quantity has already been completely fulfilled.
      • PROTUNMET

        public static final V3ActReason PROTUNMET
        Definition:Patient does not meet required protocol
      • PROVUNAUTH

        public static final V3ActReason PROVUNAUTH
        Definition:Provider is not authorized to prescribe or dispense
      • ALGINT

        public static final V3ActReason ALGINT
        Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components.
      • COMPCON

        public static final V3ActReason COMPCON
        Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency.
      • THERCHAR

        public static final V3ActReason THERCHAR
        The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications.
      • TRIAL

        public static final V3ActReason TRIAL
        Definition: The specific manufactured drug is part of a clinical trial.
      • CT

        public static final V3ActReason CT
        Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent.
      • FP

        public static final V3ActReason FP
        Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary.
      • OS

        public static final V3ActReason OS
        In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock.
      • RR

        public static final V3ActReason RR
        Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution.
      • _TRANSFERACTREASON

        public static final V3ActReason _TRANSFERACTREASON
        The explanation for why a patient is moved from one location to another within the organization
      • ER

        public static final V3ActReason ER
        Moved to an error in placing the patient in the original location.
      • RQ

        public static final V3ActReason RQ
        Moved at the request of the patient.
      • _ACTBILLABLESERVICEREASON

        public static final V3ActReason _ACTBILLABLESERVICEREASON
        Definition: This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services.
      • _ACTBILLABLECLINICALSERVICEREASON

        public static final V3ActReason _ACTBILLABLECLINICALSERVICEREASON
        Reason for Clinical Service being performed. This domain excludes reasons specified by diagnosed conditions. Examples of values from this domain include duplicate therapy and fraudulent prescription.
      • CHD

        public static final V3ActReason CHD
        Description:The level of coverage under the policy or program is available only to children
      • DEP

        public static final V3ActReason DEP
        Description:The level of coverage under the policy or program is available only to a subscriber's dependents.
      • ECH

        public static final V3ActReason ECH
        Description:The level of coverage under the policy or program is available to an employee and his or her children.
      • EMP

        public static final V3ActReason EMP
        Description:The level of coverage under the policy or program is available only to an employee.
      • ESP

        public static final V3ActReason ESP
        Description:The level of coverage under the policy or program is available to an employee and his or her spouse.
      • FAM

        public static final V3ActReason FAM
        Description:The level of coverage under the policy or program is available to a subscriber's family.
      • IND

        public static final V3ActReason IND
        Description:The level of coverage under the policy or program is available to an individual.
      • SPC

        public static final V3ActReason SPC
        Description:The level of coverage under the policy or program is available to a subscriber's spouse and children
      • SPO

        public static final V3ActReason SPO
        Description:The level of coverage under the policy or program is available only to a subscribers spouse
    • Method Detail

      • values

        public static V3ActReason[] values()
        Returns an array containing the constants of this enum type, in the order they are declared. This method may be used to iterate over the constants as follows:
        for (V3ActReason c : V3ActReason.values())
            System.out.println(c);
        
        Returns:
        an array containing the constants of this enum type, in the order they are declared
      • valueOf

        public static V3ActReason valueOf​(String name)
        Returns the enum constant of this type with the specified name. The string must match exactly an identifier used to declare an enum constant in this type. (Extraneous whitespace characters are not permitted.)
        Parameters:
        name - the name of the enum constant to be returned.
        Returns:
        the enum constant with the specified name
        Throws:
        IllegalArgumentException - if this enum type has no constant with the specified name
        NullPointerException - if the argument is null
      • fromCode

        public static V3ActReason fromCode​(String codeString)
                                    throws org.hl7.fhir.exceptions.FHIRException
        Throws:
        org.hl7.fhir.exceptions.FHIRException