| ActReason [2.16.840.1.113883.5.8] Description: A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type "has reason" linking to another Act. Examples: Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law". |
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| Lvl- Typ | Concept Code Head Code-defined Value Set |
Print Name | Definition, Properties, Relationships |
|---|---|---|---|
| 0-A | _ActAccommodationReason v:ActAccommodationReason |
ActAccommodationReason |
Definition: Identifies the reason the patient is assigned to this accommodation type Concept Relationships: |
| 1-L | . ACCREQNA | Accommodation Requested Not Available |
Definition: Accommodation requested is not available. Concept Relationships: |
| 1-L | . FLRCNV | Floor Convenience |
Definition: Accommodation is assigned for floor convenience. Concept Relationships: |
| 1-L | . MEDNEC | Medical Necessity |
Definition: Required for medical reasons(s). Concept Relationships: |
| 1-L | . PAT | Patient request |
Definition: The Patient requested the action Concept Relationships: |
| 0-A | _ActCoverageReason v:ActCoverageReason |
ActCoverageReason |
Definition: 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. Concept Relationships: |
| 1-A | . _EligibilityActReasonCode . v:EligibilityActReasonCode |
EligibilityActReasonCode |
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. Concept Relationships: |
| 2-A | . . _ActIneligibilityReason . . v:ActIneligibilityReason |
ActIneligibilityReason |
Definition: 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. Concept Relationships: |
| 3-L | . . . COVSUS | coverage suspended |
Definition: 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). OpenIssue: Concept Relationships: |
| 3-L | . . . DECSD | deceased |
Definition: Client deceased. Concept Relationships: |
| 3-L | . . . REGERR | registered in error |
Definition: Client was registered in error. Concept Relationships: |
| 2-A | . . _CoverageEligibilityReason . . v:CoverageEligibilityReason |
CoverageEligibilityReason |
Definition: 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. Concept Relationships: |
| 3-L | . . . AGE | age eligibility |
Definition: 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. Concept Relationships: |
| 3-L | . . . CRIME | crime victim |
Definition: 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. Concept Relationships: |
| 3-L | . . . DIS | disability |
Definition: 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. Concept Relationships: |
| 3-L | . . . EMPLOY | employment benefit |
Definition: A person becomes eligible for insurance provided as an employment benefit based on employment status. Concept Relationships: |
| 3-L | . . . FINAN | financial eligibility |
Definition: 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. Concept Relationships: |
| 3-L | . . . HEALTH | health status |
Definition: 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 Concept Relationships: |
| 3-L | . . . MULTI | multiple criteria eligibility |
Definition: 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. Concept Relationships: |
| 3-L | . . . PNC | property and casualty condition |
Definition: 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. Concept Relationships: |
| 3-L | . . . STATUTORY | statutory eligibility |
Definition: 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. Concept Relationships: |
| 3-L | . . . VEHIC | motor vehicle accident victim |
Definition: A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury. Concept Relationships: |
| 3-L | . . . WORK | work related |
Definition: 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. Concept Relationships: |
| 0-A | _ActInformationManagementReason | ActInformationManagementReason |
Definition: 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. Concept Relationships: |
| 1-A | . _ActHealthInformationManagementReason | ActHealthInformationManagementReason |
Definition: 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. Concept Relationships: |
| 2-A | . . _ActConsentInformationAccessOverrideReason . . v:ActConsentInformationAccessOverrideReason |
ActConsentInformationAccessOverrideReason |
Definition: Definition: Use to convey the reason that a provider may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives. Concept Relationships: |
| 3-L | . . . OVRER | emergency |
Definition: Definition: The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record. Concept Relationships: |
| 3-L | . . . OVRPJ | professional judgment |
Definition: Definition: 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. Example:Psychiatric patient. Concept Relationships: |
| 3-L | . . . OVRPS | public safety |
Definition: Definition: 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. Concept Relationships: |
| 3-L | . . . OVRTPS | third party safety |
Definition: Definition: 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. Concept Relationships: |
| 2-A | . . _ActHealthInformationPrivacyReason | ActHealthInformationPrivacyReason |
Definition: Description: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. Concept Relationships: |
| 3-L | . . . HMARKT | healthcare marketing |
Definition: Description:Activities conducted for the purposes of marketing services and products that are typically related to healthcare. Concept Relationships: |
| 3-S | . . . HOPERAT | healthcare operations |
Definition: Description:Administrative and contractual processes required to support the provision of healthcare. Concept Relationships: |
| 4-L | . . . . HACCRED | accreditation |
Definition: Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity Concept Relationships: |
| 4-L | . . . . HCOMPL | compliance |
Definition: Description:Operational activities required to meet a mandate Concept Relationships: |
| 4-L | . . . . HLEGAL | legal |
Definition: Description:Operational activities required by legal proceedings Concept Relationships: |
| 4-L | . . . . HOUTCOMS | outcome measure |
Definition: Description:Operational activities conducted for the purposes of assessing the results of healthcare Concept Relationships: |
| 4-L | . . . . HPRGRP | program reporting |
Definition: Description:Operational activities conducted to meet program accounting requirements Concept Relationships: |
| 4-L | . . . . HQUALIMP | quality improvement |
Definition: Description:Operational activities conducted for the purposes of improving healthcare quality Concept Relationships: |
| 4-L | . . . . HSYSADMIN | system administration |
Definition: Description:Operational activities conducted to administer the electronic systems used for the delivery of healthcare Concept Relationships: |
| 4-L | . . . . MEMADMIN | member administration |
Definition: Description:Operational activities conducted to administer healthcare coverage to an enrollee under a policy or program Concept Relationships: |
| 4-L | . . . . PATADMIN | patient administration |
Definition: Description:Operational activities conducted to administer the delivery of healthcare to a patient Concept Relationships: |
| 4-L | . . . . PATSFTY | patient safety |
Definition: Description:Operational activities conducted for the purposes of increasing the safety of healthcare Concept Relationships: |
| 3-L | . . . HPAYMT | healthcare payment |
Definition: Description:Administrative, financial, and contractual processes related to payment for the provision of healthcare. Concept Relationships: |
| 3-L | . . . HRESCH | healthcare research |
Definition: Description:Activities conducted for the purposes of obtaining healthcare knowledge. Concept Relationships: |
| 3-S | . . . TREAT | treatment |
Definition: Description:Provision of healthcare to a subject of care. Concept Relationships: |
| 4-L | . . . . CAREMGT | Care Management |
Definition: Description:Coordination of care provision typically overseen by a healthcare payer. Concept Relationships: |
| 4-L | . . . . CLINTRL | clinical trial |
Definition: Description:Healthcare provided or withheld in the course of conducting research Concept Relationships: |
| 4-L | . . . . ETREAT | Emergency Treatment |
Definition: Description:Provision of emergency healthcare . Concept Relationships: |
| 4-L | . . . . POPHLTH | population health |
Definition: Description:Activities conducted for the purposes of population health, such as the reporting of notifiable conditions. Concept Relationships: |
| 1-A | . _ActInformationPrivacyReason | ActInformationPrivacyReason |
Definition: 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. Concept Relationships: |
| 2-L | . . MARKT | marketing |
Definition: Description: Concept Relationships: |
| 2-S | . . OPERAT | operations |
Definition: Description:Administrative and contractual processes required to support an activity, product, or service Concept Relationships: |
| 3-L | . . . ACCRED | accreditation |
Definition: Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service Concept Relationships: |
| 3-L | . . . COMPL | compliance |
Definition: Description:Operational activities required to meet a mandate related to an activity, product, or service Concept Relationships: |
| 3-L | . . . ENADMIN | entity administration |
Definition: Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service Concept Relationships: |
| 3-L | . . . LEGAL | subpoena |
Definition: Definition:To provide information as a result of a subpoena. Concept Relationships: |
| 3-L | . . . OUTCOMS | outcome measure |
Definition: Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service Concept Relationships: |
| 3-L | . . . PRGRPT | program reporting |
Definition: Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service Concept Relationships: |
| 3-L | . . . QUALIMP | quality improvement |
Definition: Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service Concept Relationships: |
| 3-L | . . . SYSADMN | system administration |
Definition: Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service Concept Relationships: |
| 2-L | . . PAYMT | payment |
Definition: Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service Concept Relationships: |
| 2-L | . . RESCH | research |
Definition: Description:Investigative activities conducted for the purposes of obtaining knowledge Concept Relationships: |
| 2-L | . . SRVC | service |
Definition: Description:Provision of a service, product, or capability to an individual or organization Concept Relationships: |
| 0-S | _ActInvalidReason | ActInvalidReason |
Definition: Description: Types of reasons why a substance is invalid for use. Concept Relationships: |
| 1-S | . ADVSTORAGE | adverse storage condition |
Definition: Description: Storage conditions caused the substance to be ineffective. Concept Relationships: |
| 2-L | . . COLDCHNBRK | cold chain break |
Definition: Description: Cold chain was not maintained for the substance. Concept Relationships: |
| 1-L | . EXPLOT | expired lot |
Definition: Description: The lot from which the substance was drawn was expired. Concept Relationships: |
| 1-L | . OUTSIDESCHED | administered outside recommended schedule |
Definition: Description: The substance was administered outside of the recommended schedule. Concept Relationships: |
| 1-L | . PRODRECALL | product recall |
Definition: Description: The substance was recalled by the manufacturer. Concept Relationships: |
| 0-A | _ActInvoiceCancelReason | ActInvoiceCancelReason |
Definition: Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping. Concept Relationships: |
| 1-L | . INCCOVPTY | incorrect covered party as patient |
Definition: The covered party (patient) specified with the Invoice is not correct. Concept Relationships: |
| 1-L | . INCINVOICE | incorrect billing |
Definition: The billing information, specified in the Invoice Elements, is not correct. This could include incorrect costing for items included in the Invoice. Concept Relationships: |
| 1-L | . INCPOLICY | incorrect policy |
Definition: The policy specified with the Invoice is not correct. For example, it may belong to another Adjudicator or Covered Party. Concept Relationships: |
| 1-L | . INCPROV | incorrect provider |
Definition: The provider specified with the Invoice is not correct. Concept Relationships: |
| 0-A | _ActNoImmunizationReason v:ActNoImmunizationReason |
ActNoImmunizationReason |
Definition: A coded description of the reason for why a patient did not receive a scheduled immunization. (important for public health strategy Concept Relationships: |
| 1-L | . IMMUNE | immunity |
Definition: Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization. Concept Relationships: |
| 1-L | . MEDPREC | medical precaution |
Definition: Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted. Concept Relationships: |
| 1-L | . OSTOCK | out of stock |
Definition: Definition:There was no supply of the product on hand to perform the service. Concept Relationships: |
| 1-L | . PATOBJ | patient objection |
Definition: Definition:The patient or their guardian objects to receiving the vaccine. Concept Relationships: |
| 1-L | . PHILISOP | philosophical objection |
Definition: Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs. Concept Relationships: |
| 1-L | . RELIG | religious objection |
Definition: Definition:The patient or their guardian objects to receiving the vaccine on religious grounds. Concept Relationships: |
| 1-L | . VACEFF | vaccine efficacy concerns |
Definition: Definition:The intended vaccine has expired or is otherwise believed to no longer be effective. Example:Due to temperature exposure. Concept Relationships: |
| 1-L | . VACSAF | vaccine safety concerns |
Definition: Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety. Concept Relationships: |
| 0-A | _ActSupplyFulfillmentRefusalReason v:ActSupplyFulfillmentRefusalReason |
ActSupplyFulfillmentRefusalReason |
Definition: 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) Concept Relationships: |
| 1-L | . FRR01 | order stopped |
Definition: Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example:A verbal stop, a fax, etc. Concept Relationships: |
| 1-L | . FRR02 | stale-dated order |
Definition: Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current. Concept Relationships: |
| 1-L | . FRR03 | incomplete data |
Definition: 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. Concept Relationships: |
| 1-L | . FRR04 | product unavailable |
Definition: Definition:Product not available or manufactured. Cannot supply. Concept Relationships: |
| 1-L | . FRR05 | ethical/religious |
Definition: Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product. Concept Relationships: |
| 1-L | . FRR06 | unable to provide care |
Definition: 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. Concept Relationships: |
| 0-A | _ClinicalResearchEventReason | ClinicalResearchEventReason |
Definition: Definition:Specifies the reason that an event occurred in a clinical research study. Concept Relationships: |
| 1-L | . RET | retest |
Definition: 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. Concept Relationships: |
| 1-L | . SCH | scheduled |
Definition: Definition:The event occurred due to it being scheduled in the research protocol. Concept Relationships: |
| 1-L | . TRM | termination |
Definition: Definition:The event occurred in order to terminate the subject's participation in the study. Concept Relationships: |
| 1-L | . UNS | unscheduled |
Definition: 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. Concept Relationships: |
| 0-A | _ClinicalResearchObservationReason | ClinicalResearchObservationReason |
Definition: 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. Concept Relationships: |
| 1-L | . NPT | non-protocol |
Definition: Definition:The observation or test was neither defined or scheduled in the study protocol. Concept Relationships: |
| 1-L | . PPT | per protocol |
Definition: 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. Concept Relationships: |
| 1-L | . UPT | per definition |
Definition: :The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol. Concept Relationships: |
| 0-A | _CombinedPharmacyOrderSuspendReasonCode | CombinedPharmacyOrderSuspendReasonCode |
Definition: Description:Indicates why the prescription should be suspended. Concept Relationships: |
| 1-L | . ALTCHOICE | try another treatment first |
Definition: 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. Concept Relationships: |
| 1-L | . CLARIF | prescription requires clarification |
Definition: Description:Clarification is required before the order can be acted upon. Concept Relationships: |
| 1-L | . DRUGHIGH | drug level too high |
Definition: 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. Concept Relationships: |
| 1-L | . HOSPADM | admission to hospital |
Definition: Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge. Concept Relationships: |
| 1-L | . LABINT | lab interference issues |
Definition: Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed. Concept Relationships: |
| 1-L | . NON-AVAIL | patient not-available |
Definition: Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason. Concept Relationships: |
| 1-L | . PREG | parent is pregnant/breast feeding |
Definition: 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. Concept Relationships: |
| 1-L | . SALG | allergy |
Definition: 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. Concept Relationships: |
| 1-L | . SDDI | drug interacts with another drug |
Definition: 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. Concept Relationships: |
| 1-L | . SDUPTHER | duplicate therapy |
Definition: 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. Concept Relationships: |
| 1-L | . SINTOL | intolerance |
Definition: 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. Concept Relationships: |
| 1-L | . SURG | patient scheduled for surgery |
Definition: 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. Concept Relationships: |
| 1-L | . WASHOUT | waiting for old drug to wash out |
Definition: 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. Concept Relationships: |
| 0-S | _ControlActNullificationReasonCode | ControlActNullificationReasonCode |
Definition: Description:Identifies reasons for nullifying (retracting) a particular control act. Concept Relationships: |
| 1-L | . ALTD | altered decision |
Definition: 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. Concept Relationships: |
| 1-L | . EIE | entered in error |
Definition: Description:The information was recorded incorrectly or was recorded in the wrong record. Concept Relationships: |
| 1-L | . NORECMTCH | no record match |
Definition: Description: There is no match for the record in the database. Concept Relationships: |
| 0-A | _ControlActNullificationRefusalReasonType v:ControlActNullificationRefusalReasonType |
ControlActNullificationRefusalReasonType |
Definition: Description: Reasons to refuse a transaction to be undone. Concept Relationships: |
| 1-L | . INRQSTATE | in requested state |
Definition: The record is already in the requested state. Concept Relationships: |
| 1-S | . NOMATCH | no match |
Definition: Description: There is no match. Concept Relationships: |
| 2-L | . . NOPRODMTCH | no product match |
Definition: Description: There is no match for the product in the master file repository. Concept Relationships: |
| 2-L | . . NORECMTCH | no record match |
Definition: Description: There is no match for the record in the database. Concept Relationships: |
| 2-L | . . NOSERMTCH | no service match |
Definition: Description: There is no match for the service in the master file repository. Concept Relationships: |
| 2-L | . . NOVERMTCH | no version match |
Definition: Description: There is no match for the record and version. Concept Relationships: |
| 1-S | . NOPERM | no permission |
Definition: Description: There is no permission. Concept Relationships: |
| 2-L | . . NOAGNTPERM | no agent permission |
Definition: Description: The agent does not have permission. Concept Relationships: |
| 2-L | . . NOUSERPERM | no user permission |
Definition: Definition:The user does not have permission Concept Relationships: |
| 1-L | . WRNGVER | wrong version |
Definition: Description: The record and version requested to update is not the current version. Concept Relationships: |
| 0-A | _ControlActReason v:ControlActReason |
ControlActReason |
Definition: Identifies why a specific query, request, or other trigger event occurred. Concept Relationships: |
| 1-A | . _MedicationOrderAbortReasonCode . v:MedicationOrderAbortReasonCode |
medication order abort reason |
Definition: Description:Indicates the reason the medication order should be aborted. Concept Relationships: |
| 2-L | . . DISCONT | product discontinued |
Definition: Description:The medication is no longer being manufactured or is otherwise no longer available. Concept Relationships: |
| 2-L | . . INEFFECT | ineffective |
Definition: Description:The therapy has been found to not have the desired therapeutic benefit on the patient. Concept Relationships: |
| 2-L | . . MONIT | response to monitoring |
Definition: Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate. Concept Relationships: |
| 2-L | . . NOREQ | no longer required for treatment |
Definition: Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed. Concept Relationships: |
| 2-L | . . NOTCOVER | not covered |
Definition: Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy. Concept Relationships: |
| 2-L | . . PREFUS | patient refuse |
Definition: Description:The patient refused to take the product. Concept Relationships: |
| 2-L | . . RECALL | product recalled |
Definition: Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation. Concept Relationships: |
| 2-S | . . REPLACE | change in order |
Definition: Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it. Concept Relationships: |
| 3-L | . . . DOSECHG | change in medication/dose |
Definition: Description:The medication is being re-prescribed at a different dosage. Concept Relationships: |
| 2-L | . . REPLACEFIX | error in order |
Definition: Description:Current order was issued with incorrect data and a new order has/will be created to replace it. Concept Relationships: |
| 2-L | . . UNABLE | unable to use |
Definition: Description:<The patient is not (or is no longer) able to use the medication in a manner prescribed. Example:CanaTMt swallow. Concept Relationships: |
| 1-A | . _MedicationOrderReleaseReasonCode . v:MedicationOrderReleaseReasonCode |
medication order release reason |
Definition: Definition:A collection of concepts that indicate why the prescription should be released from suspended state. Concept Relationships: |
| 2-L | . . HOLDDONE | suspend reason no longer applies |
Definition: Definition:The original reason for suspending the medication has ended. Concept Relationships: |
| 2-L | . . HOLDINAP | suspend reason inappropriate |
Definition: Definition: Concept Relationships: |
| 1-S | . _PharmacySupplyEventAbortReason . v:PharmacySupplyEventAbortReason |
PharmacySupplyEventAbortReason |
Definition: Definition:Identifies why the dispense event was not completed. Concept Relationships: |
| 2-L | . . CONTRA | contraindication |
Definition: Definition:Contraindication identified Concept Relationships: |
| 2-L | . . FOABORT | order aborted |
Definition: Definition:Order to be fulfilled was aborted Concept Relationships: |
| 2-L | . . FOSUSP | order suspended |
Definition: Definition:Order to be fulfilled was suspended Concept Relationships: |
| 2-L | . . NOPICK | not picked up |
Definition: Definition:Patient did not come to get medication Concept Relationships: |
| 2-L | . . PATDEC | patient changed mind |
Definition: Definition:Patient changed their mind regarding obtaining medication Concept Relationships: |
| 2-L | . . QUANTCHG | change supply quantity |
Definition: Definition:Patient requested a revised quantity of medication Concept Relationships: |
| 1-A | . _PharmacySupplyEventStockReasonCode . v:PharmacySupplyEventStockReasonCode |
pharmacy supply event stock reason |
Definition: Definition:A collection of concepts that indicates the reason for a "bulk supply" of medication. Concept Relationships: |
| 2-L | . . FLRSTCK | floor stock |
Definition: Definition:The bulk supply is issued to replenish a ward for local dispensing. (Includes both mobile and fixed-location ward stocks.) Concept Relationships: |
| 2-L | . . LTC | long term care use |
Definition: Definition:The bulk supply will be administered within a long term care facility. Concept Relationships: |
| 2-L | . . OFFICE | office use |
Definition: Definition:The bulk supply is intended for general clinician office use. Concept Relationships: |
| 2-L | . . PHARM | pharmacy transfer |
Definition: Definition:The bulk supply is being transferred to another dispensing facility to. Example:Alleviate a temporary shortage. Concept Relationships: |
| 2-L | . . PROG | program use |
Definition: Definition:The bulk supply is intended for dispensing according to a specific program. Example:Mass immunization. Concept Relationships: |
| 1-A | . _PharmacySupplyRequestRenewalRefusalReasonCode . v:PharmacySupplyRequestRenewalRefusalReasonCode |
pharmacy supply request renewal refusal reason |
Definition: Definition:A collection of concepts that identifies why a renewal prescription has been refused. Concept Relationships: |
| 2-L | . . ALREADYRX | new prescription exists |
Definition: Definition:Patient has already been given a new (renewal) prescription. Concept Relationships: |
| 2-L | . . DISCONT | product discontinued |
Definition: Description:The medication is no longer being manufactured or is otherwise no longer available. Concept Relationships: |
| 2-L | . . FAMPHYS | family physician must authorize further fills |
Definition: Definition:Request for further authorization must be done through patient's family physician. Concept Relationships: |
| 2-L | . . MODIFY | modified prescription exists |
Definition: Definition:Therapy has been changed and new prescription issued Concept Relationships: |
| 2-L | . . NEEDAPMT | patient must make appointment |
Definition: Definition:Patient must see prescriber prior to further fills. Concept Relationships: |
| 2-L | . . NOTAVAIL | prescriber not available |
Definition: Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient. Concept Relationships: |
| 2-L | . . NOTPAT | patient no longer in this practice |
Definition: Definition:Patient no longer or has never been under this prescribers care. Concept Relationships: |
| 2-L | . . ONHOLD | medication on hold |
Definition: Definition:This medication is on hold. Concept Relationships: |
| 2-L | . . PRNA | product not available |
Definition: Description:This product is not available or manufactured. Concept Relationships: |
| 2-L | . . TOOEARLY | too early |
Definition: Definition:The patient should have medication remaining. Concept Relationships: |
| 1-A | . _SupplyOrderAbortReasonCode . v:SupplyOrderAbortReasonCode |
supply order abort reason |
Definition: 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). Concept Relationships: |
| 2-L | . . IMPROV | condition improved |
Definition: Definition:The patient's medical condition has nearly abated. Concept Relationships: |
| 2-L | . . INTOL | intolerance |
Definition: Description:The patient has an intolerance to the medication. Concept Relationships: |
| 2-L | . . NEWSTR | new strength |
Definition: Definition:The current medication will be replaced by a new strength of the same medication. Concept Relationships: |
| 2-L | . . NEWTHER | new therapy |
Definition: Definition:A new therapy will be commenced when current supply exhausted. Concept Relationships: |
| 0-A | _GenericUpdateReasonCode | GenericUpdateReasonCode |
Definition: Description:Identifies why a change is being made to a record. Concept Relationships: |
| 1-L | . CHGDATA | information change |
Definition: Description:Information has changed since the record was created. Concept Relationships: |
| 1-L | . FIXDATA | error correction |
Definition: Description:Previously recorded information was erroneous and is being corrected. Concept Relationships: |
| 1-L | . NEWDATA | new information |
Definition: Description:New information has become available to supplement the record. Concept Relationships: |
| 0-A | _PatientProfileQueryReasonCode | patient profile query reason |
Definition: Definition:A collection of concepts identifying why the patient's profile is being queried. Concept Relationships: |
| 1-L | . ADMREV | administrative review |
Definition: Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures. Concept Relationships: |
| 1-L | . LEGAL | subpoena |
Definition: Definition:To provide information as a result of a subpoena. Concept Relationships: |
| 1-L | . PATCAR | patient care |
Definition: Definition:To obtain records as part of patient care. Concept Relationships: |
| 1-L | . PATREQ | patient request |
Definition: Definition:Patient requests information from their profile. Concept Relationships: |
| 1-L | . PRCREV | practice review |
Definition: Definition:To evaluate the provider's current practice for professional-improvement reasons. Concept Relationships: |
| 1-L | . REGUL | regulatory review |
Definition: Description:Review for the purpose of regulatory compliance. Concept Relationships: |
| 1-L | . RSRCH | research |
Definition: Definition:To provide research data, as authorized by the patient. Concept Relationships: |
| 1-L | . VALIDATION | validation review |
Definition: Description:To validate the patient's record. Example:Merging or unmerging records. Concept Relationships: |
| 0-S | _PharmacySupplyRequestFulfillerRevisionRefusalReasonCode v:PharmacySupplyRequestFulfillerRevisionRefusalReasonCode |
PharmacySupplyRequestFulfillerRevisionRefusalReasonCode |
Definition: Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused. Concept Relationships: |
| 1-L | . LOCKED | locked |
Definition: Definition:The prescription may not be reassigned from the original pharmacy. Concept Relationships: |
| 1-L | . NOUSERPERM | no user permission |
Definition: Definition:The user does not have permission Concept Relationships: |
| 1-L | . UNKWNTARGET | unknown target |
Definition: Definition:The target facility does not recognize the dispensing facility. Concept Relationships: |
| 0-A | _RefusalReasonCode v:RefusalReasonCode v:UpdateRefusalReasonCode |
RefusalReasonCode |
Definition: 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. Concept Relationships: |
| 1-S | . NOMATCH | no match |
Definition: Description: There is no match. Concept Relationships: |
| 2-L | . . NOPRODMTCH | no product match |
Definition: Description: There is no match for the product in the master file repository. Concept Relationships: |
| 2-L | . . NORECMTCH | no record match |
Definition: Description: There is no match for the record in the database. Concept Relationships: |
| 2-L | . . NOSERMTCH | no service match |
Definition: Description: There is no match for the service in the master file repository. Concept Relationships: |
| 2-L | . . NOVERMTCH | no version match |
Definition: Description: There is no match for the record and version. Concept Relationships: |
| 1-S | . NOPERM | no permission |
Definition: Description: There is no permission. Concept Relationships: |
| 2-L | . . NOAGNTPERM | no agent permission |
Definition: Description: The agent does not have permission. Concept Relationships: |
| 2-L | . . NOUSERPERM | no user permission |
Definition: Definition:The user does not have permission Concept Relationships: |
| 0-A | _SchedulingActReason v:SchedulingActReason |
SchedulingActReason |
Definition: Reasons for cancelling or rescheduling an Appointment Concept Relationships: |
| 1-L | . BLK | Unexpected Block (of Schedule) |
Definition: The time slots previously allocated are now blocked and no longer available for booking Appointments Concept Relationships: |
| 1-L | . DEC | Patient Deceased |
Definition: The Patient is deceased Concept Relationships: |
| 1-L | . FIN | No Financial Backing |
Definition: Patient unable to pay and not covered by insurance Concept Relationships: |
| 1-L | . MED | Medical Status Altered |
Definition: The medical condition of the Patient has changed Concept Relationships: |
| 1-L | . MTG | In an outside meeting |
Definition: The Physician is in a meeting. For example, he/she may request administrative time to talk to family after appointment Concept Relationships: |
| 1-L | . PAT | Patient request |
Definition: The Patient requested the action Concept Relationships: |
| 1-L | . PHY | Physician request |
Definition: The Physician requested the action Concept Relationships: |
| 0-S | _StatusRevisionRefusalReasonCode v:StatusRevisionRefusalReasonCode |
StatusRevisionRefusalReasonCode |
Definition: Indicates why the act revision (status update) is being refused. Concept Relationships: |
| 1-L | . FILLED | fully filled |
Definition: Ordered quantity has already been completely fulfilled. Concept Relationships: |
| 1-L | . INRQSTATE | in requested state |
Definition: The record is already in the requested state. Concept Relationships: |
| 1-L | . NORECMTCH | no record match |
Definition: Description: There is no match for the record in the database. Concept Relationships: |
| 1-L | . NOUSERPERM | no user permission |
Definition: Definition:The user does not have permission Concept Relationships: |
| 0-A | _SubstanceAdminSubstitutionNotAllowedReason v:SubstanceAdminSubstitutionNotAllowedReason |
SubstanceAdminSubstitutionNotAllowedReason |
Definition: Reasons why substitution of a substance administration request is not permitted. Concept Relationships: |
| 1-L | . ALGINT | allergy intolerance |
Definition: Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components. Concept Relationships: |
| 1-L | . COMPCON | compliance concern |
Definition: Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency. Concept Relationships: |
| 1-L | . PAT | Patient request |
Definition: The Patient requested the action Concept Relationships: |
| 1-L | . THERCHAR | therapeutic characteristics |
Definition: The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications. Concept Relationships: |
| 1-L | . TRIAL | clinical trial |
Definition: Definition: The specific manufactured drug is part of a clinical trial. Concept Relationships: |
| 0-A | _SubstanceAdminSubstitutionReason v:SubstanceAdminSubstitutionReason |
SubstanceAdminSubstitutionReason |
Concept Relationships: |
| 1-L | . CT | continuing therapy |
Definition: 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. Concept Relationships: |
| 1-L | . FP | formulary policy |
Definition: Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary. Concept Relationships: |
| 1-L | . OS | out of stock |
Definition: 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. Concept Relationships: |
| 1-L | . RR | regulatory requirement |
Definition: Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution. Concept Relationships: |
| 0-S | _SubstanceAdministrationPermissionRefusalReasonCode v:SubstanceAdministrationPermissionRefusalReasonCode |
SubstanceAdministrationPermissionRefusalReasonCode |
Definition: Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused. Concept Relationships: |
| 1-L | . NOUSERPERM | no user permission |
Definition: Definition:The user does not have permission Concept Relationships: |
| 1-L | . PATINELIG | patient not eligible |
Definition: Definition:Patient not eligible for drug Concept Relationships: |
| 1-L | . PROTUNMET | protocol not met |
Definition: Definition:Patient does not meet required protocol Concept Relationships: |
| 1-L | . PROVUNAUTH | provider not authorized |
Definition: Definition:Provider is not authorized to prescribe or dispense Concept Relationships: |
| 0-A | _TransferActReason v:TransferActReason |
TransferActReason |
Definition: The explanation for why a patient is moved from one location to another within the organization Concept Relationships: |
| 1-L | . ER | Error |
Definition: Moved to an error in placing the patient in the original location. Concept Relationships: |
| 1-L | . RQ | Request |
Definition: Moved at the request of the patient. Concept Relationships: |
Last Published: 20120831 10:21 AM
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