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RoleCode      [2.16.840.1.113883.5.111]

Description:

A set of codes further specifying the kind of Role; specific classification codes for further qualifying RoleClass codes.
Lvl- Typ Concept Code
  Head Code-defined Value Set		 Print Name Definition, Properties, Relationships
0-L CLAIM claimant

Definition:

A party that makes a claim for coverage under a policy.
0-L GT Guarantor

Definition:

An individual or organization that makes or gives a promise, assurance, pledge to pay or has paid the healthcare service provider.
0-L PH Policy Holder

Definition:

Policy holder for the insurance policy.
0-L PROG program eligible

Definition:

A party that meets the eligibility criteria for coverage under a program.
0-L PT Patient

Definition:

The recipient for the service(s) and/or product(s) when they are not the covered party.
0-A _AffiliationRoleType AffiliationRoleType

Definition:

Concepts characterizing the type of association formed by player and scoper when there is a recognized Affiliate role by which the two parties are related.

Examples: Business Partner, Business Associate, Colleague

Concept Relationships:
  Generalizes (derived): RESPRSN _CoverageSponsorRoleType _PayorRoleType
  ClassifiesClassCode to: AFFL

1-S . RESPRSN
.   v:ResponsibleParty		 responsible party

Definition:

The role played by a party who has legal responsibility for another party.

Concept Relationships:
  Specializes: _AffiliationRoleType
  Generalizes (derived): EXCEST GUADLTM GUARD POWATT

2-L . . EXCEST executor of estate

Definition:

The role played by a person acting as the estate executor for a deceased subscriber or policyholder who was the responsible party

Concept Relationships:
  Specializes: RESPRSN

2-L . . GUADLTM guardian ad lidem

Definition:

The role played by a person appointed by the court to look out for the best interests of a minor child during the course of legal proceedings.

Concept Relationships:
  Specializes: RESPRSN

2-L . . GUARD guardian

Definition:

The role played by a person or institution legally empowered with responsibility for the care of a ward.

Concept Relationships:
  Specializes: RESPRSN

2-S . . POWATT
. .   v:PowerOfAttorney		 power of attorney

Definition:

A relationship between two people in which one person authorizes another to act for him in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts.

Concept Relationships:
  Specializes: RESPRSN
  Generalizes (derived): DPOWATT HPOWATT SPOWATT

3-L . . . DPOWATT durable power of attorney

Definition:

A relationship between two people in which one person authorizes another, usually a family member or relative, to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that is often limited in the kinds of powers that can be assigned. Unlike ordinary powers of attorney, durable powers can survive for long periods of time, and again, unlike standard powers of attorney, durable powers can continue after incompetency.

Concept Relationships:
  Specializes: POWATT

3-L . . . HPOWATT healthcare power of attorney

Definition:

A relationship between two people in which one person authorizes another to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that continues (by its terms) to be effective even though the grantor has become mentally incompetent after signing the document.

Concept Relationships:
  Specializes: POWATT

3-L . . . SPOWATT special power of attorney

Definition:

A relationship between two people in which one person authorizes another to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that is often limited in the kinds of powers that can be assigned.

Concept Relationships:
  Specializes: POWATT

1-A . _CoverageSponsorRoleType
.   v:CoverageSponsorRoleType		 CoverageSponsorRoleType

Definition:

Description:Codes that indicate a specific type of sponsor. Used when the sponsor's role is only either as a fully insured sponsor or only as a self-insured sponsor. NOTE: Where a sponsor may be either, use the SponsorParticipationFunction.code (fully insured or self insured) to indicate the type of responsibility. (CO6-0057)

Concept Relationships:
  Specializes: _AffiliationRoleType
  Generalizes (derived): FULLINS SELFINS
  ClassifiesClassCode to: SPNSR

2-L . . FULLINS Fully insured coverage sponsor

Definition:

Description:An employer or organization that contracts with an underwriter to assumes the financial risk and administrative responsibility for coverage of health services for covered parties.

Concept Relationships:
  Specializes: _CoverageSponsorRoleType

2-L . . SELFINS Self insured coverage sponsor

Definition:

Description:An employer or organization that assumes the financial risk and administrative responsibility for coverage of health services for covered parties.

Concept Relationships:
  Specializes: _CoverageSponsorRoleType

1-A . _PayorRoleType
.   v:PayorRoleType		 PayorRoleType

Definition:

Description:PayorRoleType for a particular type of policy or program benefit package or plan where more detail about the coverage administration role of the Payor is required. The functions performed by a Payor qualified by a PayorRoleType may be specified by the PayorParticpationFunction value set.

Examples:A Payor that is a TPA may administer a managed care plan without underwriting the risk.

Concept Relationships:
  Specializes: _AffiliationRoleType
  Generalizes (derived): ENROLBKR TPA UMO

2-L . . ENROLBKR Enrollment Broker

Definition:

Description:A payor that is responsible for functions related to the enrollment of covered parties.

Concept Relationships:
  Specializes: _PayorRoleType

2-L . . TPA Third party administrator

Definition:

Description:Third party administrator (TPA) is a payor organization that processes health care claims without carrying insurance risk. Third party administrators are prominent players in the managed care industry and have the expertise and capability to administer all or a portion of the claims process. They are normally contracted by a health insurer or self-insuring companies to administer services, including claims administration, premium collection, enrollment and other administrative activities.

Self-insured employers often contract with third party administrator to handle their insurance functions. Insurance companies oftentimes outsource the claims, utilization review or membership functions to a TPA. Sometimes TPAs only manage provider networks, only claims or only utilization review.

While some third-party administrators may operate as units of insurance companies, they are often independent. However, hospitals or provider organizations desiring to set up their own health plans will often outsource certain responsibilities to TPAs. TPAs may perform one or several payor functions, specified by the PayorParticipationFunction value set, such as provider management, enrollment, utilization management, and fee for service claims adjudication management.

Concept Relationships:
  Specializes: _PayorRoleType

2-L . . UMO Utilization management organization

Definition:

Description:A payor that is responsible for review and case management of health services covered under a policy or program.

Concept Relationships:
  Specializes: _PayorRoleType

0-A _AssignedRoleType AssignedRoleType

Concept Relationships:
  Generalizes (derived): _AssignedNonPersonLivingSubjectRoleType
  ClassifiesClassCode to: ASSIGNED

1-A . _AssignedNonPersonLivingSubjectRoleType
.   v:AssignedNonPersonLivingSubjectRoleType		 AssignedNonPersonLivingSubjectRoleType

Definition:

Description:A role type that is used to further qualify a non-person subject playing a role where the role class attribute is set to RoleClass AssignedEntity

Concept Relationships:
  Specializes: _AssignedRoleType
  Generalizes (derived): ASSIST BIOTH CCO SEE SNIFF
  ClassifiesClassCode to: ASSIGNED

2-L . . ASSIST Assistive non-person living subject

Definition:

Description:Dogs trained to assist the ill or physically challenged.

Concept Relationships:
  Specializes: _AssignedNonPersonLivingSubjectRoleType

2-S . . BIOTH
. .   v:BiotherapeuticNon-personLivingSubjectRoleType		 Biotherapeutic non-person living subject

Definition:

Description:Animals, including fish and insects, and microorganisms which may participate as assigned entities in biotherapies.

Concept Relationships:
  Specializes: _AssignedNonPersonLivingSubjectRoleType
  Generalizes (derived): ANTIBIOT DEBR

3-L . . . ANTIBIOT Antibiotic

Definition:

Description:Non-person living subject used as antibiotic.

Examples:Bacteriophage, is a virus that infects bacteria.

Concept Relationships:
  Specializes: BIOTH

3-L . . . DEBR Debridement

Definition:

Description:Maggots raised for biodebridement.

Discussion: Maggot Debridement Therapy is the medical use of live maggots for cleaning non-healing wounds.

Examples:Removal of burnt skin.

Concept Relationships:
  Specializes: BIOTH

2-L . . CCO Clinical Companion

Definition:

Description:Companion animals, such as dogs, cats, and rabbits, which may be provided to patients to improve general mood, decrease depression and loneliness, and distract from stress-inducing concerns to improve quality of life.

Concept Relationships:
  Specializes: _AssignedNonPersonLivingSubjectRoleType

2-L . . SEE Seeing

Definition:

Description:Dogs trained to assist persons who are seeing impaired or blind.

Concept Relationships:
  Specializes: _AssignedNonPersonLivingSubjectRoleType

2-L . . SNIFF Sniffing

Definition:

Description:Dogs trained or having the ability to detect imminent seizures or cancers in humans, probably as a result of volatile chemical (odors) given off by the malignancy of the host.

Concept Relationships:
  Specializes: _AssignedNonPersonLivingSubjectRoleType

0-L _CertifiedEntityType CertifiedEntityType

Definition:

Defines types of certifications for all entities

Concept Relationships:
  ClassifiesClassCode to: QUAL

0-S _CitizenRoleType
 v:CitizenRoleType		 CitizenRoleType

Definition:

A role type used to qualify a person's legal status within a country or nation.

Concept Relationships:
  Generalizes (derived): CAS CN CNRP CPCA CRP

1-S . CAS asylum seeker

Definition:

A person who has fled his or her home country to find a safe place elsewhere.

Concept Relationships:
  Specializes: _CitizenRoleType
  Generalizes (derived): CASM

2-L . . CASM single minor asylum seeker

Definition:

A person who is someone of below legal age who has fled his or her home country, without his or her parents, to find a safe place elsewhere at time of categorization.

Concept Relationships:
  Specializes: CAS

1-L . CN national

Definition:

A person who is legally recognized as a member of a nation or country, with associated rights and obligations.

Concept Relationships:
  Specializes: _CitizenRoleType

1-S . CNRP non-country member without residence permit

Definition:

A foreigner who is present in a country (which is foreign to him/her) unlawfully or without the country's authorization (may be called an illegal alien).

Concept Relationships:
  Specializes: _CitizenRoleType
  Generalizes (derived): CNRPM

2-L . . CNRPM non-country member minor without residence permit

Definition:

A person who is below legal age present in a country, without his or her parents, (which is foreign to him/her) unlawfully or without the country's authorization.

Concept Relationships:
  Specializes: CNRP

1-L . CPCA permit card applicant

Definition:

A non-country member admitted to the territory of a nation or country as a non-resident for an explicit purpose.

Concept Relationships:
  Specializes: _CitizenRoleType

1-S . CRP non-country member with residence permit

Definition:

A foreigner who is a resident of the country but does not have citizenship.

Concept Relationships:
  Specializes: _CitizenRoleType
  Generalizes (derived): CRPM

2-L . . CRPM non-country member minor with residence permit

Definition:

A person who is a resident below legal age of the country without his or her parents and does not have citizenship.

Concept Relationships:
  Specializes: CRP

0-A _ContactRoleType ContactRoleType

Definition:

Types of contact for Role code "CON"

Concept Relationships:
  Generalizes (derived): ECON NOK _AdministrativeContactRoleType
  ClassifiesClassCode to: CON

1-L . ECON emergency contact

Definition:

A contact designated for contact in emergent situations.

Concept Relationships:
  Specializes: _ContactRoleType

Concept Properties:   conceptStatusQualifier: Deprecated

1-L . NOK next of kin

Definition:

Played by an individual who is designated as the next of kin for another individual which scopes the role.

Concept Relationships:
  Specializes: _ContactRoleType

Concept Properties:   conceptStatusQualifier: Deprecated

1-A . _AdministrativeContactRoleType
.   v:AdministrativeContactRoleType		 AdministrativeContactRoleType

Definition:

A contact role used for business and/or administrative purposes.

Concept Relationships:
  Specializes: _ContactRoleType
  Generalizes (derived): BILL ORG PAYOR
  ClassifiesClassCode to: CON

2-L . . BILL Billing Contact

Definition:

A contact role used to identify a person within a Provider organization that can be contacted for billing purposes (e.g. about the content of the Invoice).

Concept Relationships:
  Specializes: _AdministrativeContactRoleType

2-L . . ORG organizational contact

Definition:

A contact for an organization for administrative purposes. Contact role specifies a person acting as a liason for the organization.

Example: HR Department representative.

Concept Relationships:
  Specializes: _AdministrativeContactRoleType

2-L . . PAYOR Payor Contact

Definition:

A contact role used to identify a person within a Payor organization to whom this communication is addressed.

Concept Relationships:
  Specializes: _AdministrativeContactRoleType

0-A _IdentifiedEntityType IdentifiedEntityType

Definition:

Definition: A code representing the type of identifier that has been assigned to the identified entity (IDENT).

Examples: Example values include Social Insurance Number, Product Catalog ID, Product Model Number.

Concept Relationships:
  Generalizes (derived): _LocationIdentifiedEntityRoleCode

1-A . _LocationIdentifiedEntityRoleCode
.   v:RoleLocationIdentifiedEntity		 LocationIdentifiedEntityRoleCode

Definition:

Description:Describes types of identifiers other than the primary location registry identifier for a service delivery location. Identifiers may be assigned by a local service delivery organization, a formal body capable of accrediting the location for the capability to provide specific services or the identifier may be assigned at a jurisdictional level.

Concept Relationships:
  Specializes: _IdentifiedEntityType
  Generalizes (derived): ACHFID JURID LOCHFID

2-L . . ACHFID accreditation identifier

Definition:

Description:Identifier assigned to a location by the organization responsible for accrediting the location.

Concept Relationships:
  Specializes: _LocationIdentifiedEntityRoleCode

2-L . . JURID jurisdiction facility identifier

Definition:

Description:Identifier assigned to a location by a jurisdiction.

Concept Relationships:
  Specializes: _LocationIdentifiedEntityRoleCode

2-L . . LOCHFID local facility identifier

Definition:

Description:Identifier assigned to a location by a local party (which could be the facility itself or organization overseeing a group of facilities).

Concept Relationships:
  Specializes: _LocationIdentifiedEntityRoleCode

0-A _LivingSubjectProductionClass
 v:LivingSubjectProductionClass		 LivingSubjectProductionClass

Definition:

Code indicating the primary use for which a living subject is bred or grown

Concept Relationships:
  Generalizes (derived): BF BL BR CO DA DR DU FI LY MT MU PL RC SH VL WL WO

1-L . BF Beef

Definition:

Cattle used for meat production

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . BL Broiler

Definition:

Chickens raised for meat

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . BR Breeder

Definition:

Breeding/genetic stock

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . CO Companion

Definition:

Companion animals

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . DA Dairy

Definition:

Milk production

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . DR Draft

Definition:

Draft animals

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . DU Dual

Definition:

Dual purpose. Defined purposes based on species and breed

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . FI Fiber

Definition:

Animals raised for their fur, hair or skins

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . LY Layer

Definition:

Chickens raised for egg production

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . MT Meat

Definition:

Animals raised for meat production

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . MU Multiplier

Definition:

Poultry flocks used for chick/poult production

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . PL Pleasure

Definition:

Animals rasied for recreation

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . RC Racing

Definition:

Animals raised for racing perfomance

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . SH Show

Definition:

Animals raised for shows

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . VL Veal

Definition:

Cattle raised for veal meat production. Implicit is the husbandry method.

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . WL Wool

Definition:

Sheep, goats and other mammals raised for their fiber

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

1-L . WO Working

Definition:

Animals used to perform work

Concept Relationships:
  Specializes: _LivingSubjectProductionClass

0-A _MedicationGeneralizationRoleType
 v:MedicationGeneralizationRoleType		 MedicationGeneralizationRoleType

Definition:

Identifies the specific hierarchical relationship between the playing and scoping medications.

Examples: Generic, Generic Formulation, Therapeutic Class, etc.

Concept Relationships:
  Generalizes (derived): DC GD MGDSF
  ClassifiesClassCode to: GEN

1-L . DC therapeutic class

Definition:

Description:A categorization of medicinal products by their therapeutic properties and/or main therapeutic use.

Concept Relationships:
  Specializes: _MedicationGeneralizationRoleType

1-S . GD generic drug

Definition:

Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients independent of strength, and form.

The scoping entity identifies a unique combination of medicine ingredients; sometimes referred to as "ingredient set".

Concept Relationships:
  Specializes: _MedicationGeneralizationRoleType
  Generalizes (derived): GDF GDS GDSF

2-L . . GDF generic drug form

Definition:

Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients and dose form, independent of strength of the ingredients. The scoping entity identifies a unique combination of medicine ingredients in a specific dose form.

Concept Relationships:
  Specializes: GD

2-L . . GDS generic drug strength

Definition:

Relates a manufactured drug product to the non-proprietary (generic) representation of is ingredients with their strength. The scoping entity identifies a unique combination of medicine ingredients with their strength.

Concept Relationships:
  Specializes: GD

2-L . . GDSF generic drug strength form

Definition:

Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients with their strength in a specific dose form. The scoping entity identifies a unique combination of medicine ingredients with their strength in a single dose form.

Concept Relationships:
  Specializes: GD

1-L . MGDSF manufactured drug strength form

Definition:

Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients with their strength in a specific dose form. The scoping entity identifies a unique combination of medicine ingredients with their strength in a single dose form.

Concept Relationships:
  Specializes: _MedicationGeneralizationRoleType

0-A _MemberRoleType
 v:MemberRoleType		 MemberRoleType

Definition:

Types of membership for Role code "MBR"

Concept Relationships:
  Generalizes (derived): TRB
  ClassifiesClassCode to: MBR

1-L . TRB Tribal Member

Definition:

A person who is a member of a tribe.

OpenIssue:

Concept Relationships:
  Specializes: _MemberRoleType

0-A _PersonalRelationshipRoleType
 v:PersonalRelationshipRoleType		 PersonalRelationshipRoleType

Concept Relationships:
  Generalizes (derived): FAMMEMB FRND NBOR ROOM
  ClassifiesClassCode to: PRS

1-S . FAMMEMB
.   v:FamilyMember		 Family Member

Definition:

A relationship between two people characterizing their "familial" relationship

Concept Relationships:
  Specializes: _PersonalRelationshipRoleType
  Generalizes (derived): CHILD EXT PRN SIB SIGOTHR

2-S . . CHILD
. .   v:Child		 Child

Definition:

The player of the role is a child of the scoping entity.

Concept Relationships:
  Specializes: FAMMEMB
  Generalizes (derived): CHLDADOPT CHLDFOST CHLDINLAW DAUC NCHILD SONC STPCHLD

3-S . . . CHLDADOPT
. . .   v:AdoptedChild		 adopted child

Definition:

The player of the role is a child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.

Concept Relationships:
  Specializes: CHILD
  Generalizes (derived): DAUADOPT SONADOPT

4-L . . . . DAUADOPT adopted daughter

Definition:

The player of the role is a female child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.

Concept Relationships:
  Specializes: CHLDADOPT DAUC

4-L . . . . SONADOPT adopted son

Definition:

The player of the role is a male child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.

Concept Relationships:
  Specializes: CHLDADOPT SONC

3-S . . . CHLDFOST
. . .   v:FosterChild		 foster child

Definition:

The player of the role is a child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.

Concept Relationships:
  Specializes: CHILD
  Generalizes (derived): DAUFOST SONFOST

4-L . . . . DAUFOST foster daughter

Definition:

The player of the role is a female child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.

Concept Relationships:
  Specializes: CHLDFOST DAUC

4-L . . . . SONFOST foster son

Definition:

The player of the role is a male child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.

Concept Relationships:
  Specializes: CHLDFOST SONC

3-S . . . CHLDINLAW
. . .   v:ChildInLaw		 child in-law

Definition:

The player of the role is the spouse of scoping person's child.

Concept Relationships:
  Specializes: CHILD
  Generalizes (derived): DAUINLAW SONINLAW

4-L . . . . DAUINLAW daughter in-law

Definition:

The player of the role is the wife of scoping person's son.

Concept Relationships:
  Specializes: CHLDINLAW

4-L . . . . SONINLAW son in-law

Definition:

The player of the role is the husband of scoping person's daughter.

Concept Relationships:
  Specializes: CHLDINLAW

3-S . . . DAUC Daughter

Definition:

Description: The player of the role is a female child (of any type) of scoping entity (parent)

Concept Relationships:
  Specializes: CHILD
  Generalizes (derived): DAU DAUADOPT DAUFOST STPDAU

4-L . . . . DAU natural daughter
Daughter

Definition:

The player of the role is a female offspring of the scoping entity (parent).

Concept Relationships:
  Specializes: DAUC NCHILD

4-L . . . . DAUADOPT adopted daughter

Definition:

The player of the role is a female child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.

Concept Relationships:
  Specializes: CHLDADOPT DAUC

4-L . . . . DAUFOST foster daughter

Definition:

The player of the role is a female child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.

Concept Relationships:
  Specializes: CHLDFOST DAUC

4-L . . . . STPDAU stepdaughter

Definition:

The player of the role is a daughter of the scoping person's spouse by a previous union.

Concept Relationships:
  Specializes: DAUC STPCHLD

3-S . . . NCHILD
. . .   v:NaturalChild		 natural child

Definition:

The player of the role is an offspring of the scoping entity as determined by birth.

Concept Relationships:
  Specializes: CHILD
  Generalizes (derived): DAU SON

4-L . . . . DAU natural daughter
Daughter

Definition:

The player of the role is a female offspring of the scoping entity (parent).

Concept Relationships:
  Specializes: DAUC NCHILD

4-L . . . . SON natural son
Son

Definition:

The player of the role is a male offspring of the scoping entity (parent).

Concept Relationships:
  Specializes: NCHILD SONC

3-S . . . SONC son

Definition:

Description: The player of the role is a male child (of any type) of scoping entity (parent)

Concept Relationships:
  Specializes: CHILD
  Generalizes (derived): SON SONADOPT SONFOST STPSON

4-L . . . . SON natural son
Son

Definition:

The player of the role is a male offspring of the scoping entity (parent).

Concept Relationships:
  Specializes: NCHILD SONC

4-L . . . . SONADOPT adopted son

Definition:

The player of the role is a male child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.

Concept Relationships:
  Specializes: CHLDADOPT SONC

4-L . . . . SONFOST foster son

Definition:

The player of the role is a male child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.

Concept Relationships:
  Specializes: CHLDFOST SONC

4-L . . . . STPSON stepson

Definition:

The player of the role is a son of the scoping person's spouse by a previous union.

Concept Relationships:
  Specializes: SONC STPCHLD

3-S . . . STPCHLD
. . .   v:StepChild		 step child

Definition:

The player of the role is a child of the scoping person's spouse by a previous union.

Concept Relationships:
  Specializes: CHILD
  Generalizes (derived): STPDAU STPSON

4-L . . . . STPDAU stepdaughter

Definition:

The player of the role is a daughter of the scoping person's spouse by a previous union.

Concept Relationships:
  Specializes: DAUC STPCHLD

4-L . . . . STPSON stepson

Definition:

The player of the role is a son of the scoping person's spouse by a previous union.

Concept Relationships:
  Specializes: SONC STPCHLD

2-S . . EXT extended family member

Definition:

Description: A family member not having an immediate genetic or legal relationship e.g. Aunt, cousin, great grandparent, grandchild, grandparent, niece, nephew or uncle.

Concept Relationships:
  Specializes: FAMMEMB
  Generalizes (derived): AUNT COUSN GGRPRN GRNDCHILD GRPRN NIENEPH UNCLE

3-S . . . AUNT aunt

Definition:

The player of the role is a sister of the scoping person's mother or father.

Concept Relationships:
  Specializes: EXT
  Generalizes (derived): MAUNT PAUNT

4-L . . . . MAUNT MaternalAunt

Definition:

Description:The player of the role is a biological sister of the scoping person's biological mother.

Concept Relationships:
  Specializes: AUNT

4-L . . . . PAUNT PaternalAunt

Definition:

Description:The player of the role is a biological sister of the scoping person's biological father.

Concept Relationships:
  Specializes: AUNT

3-S . . . COUSN cousin

Definition:

The player of the role is a relative of the scoping person descended from a common ancestor, such as a grandparent, by two or more steps in a diverging line.

Concept Relationships:
  Specializes: EXT
  Generalizes (derived): MCOUSN PCOUSN

4-L . . . . MCOUSN MaternalCousin

Definition:

Description:The player of the role is a biological relative of the scoping person descended from a common ancestor on the player's mother's side, such as a grandparent, by two or more steps in a diverging line.

Concept Relationships:
  Specializes: COUSN

4-L . . . . PCOUSN PaternalCousin

Definition:

Description:The player of the role is a biological relative of the scoping person descended from a common ancestor on the player's father's side, such as a grandparent, by two or more steps in a diverging line.

Concept Relationships:
  Specializes: COUSN

3-S . . . GGRPRN
. . .   v:GreatGrandparent		 great grandparent

Definition:

The player of the role is a parent of the scoping person's grandparent.

Concept Relationships:
  Specializes: EXT
  Generalizes (derived): GGRFTH GGRMTH MGGRFTH MGGRMTH MGGRPRN PGGRFTH PGGRMTH PGGRPRN

4-L . . . . GGRFTH great grandfather

Definition:

The player of the role is the father of the scoping person's grandparent.

Concept Relationships:
  Specializes: GGRPRN

4-L . . . . GGRMTH great grandmother

Definition:

The player of the role is the mother of the scoping person's grandparent.

Concept Relationships:
  Specializes: GGRPRN

4-L . . . . MGGRFTH MaternalGreatgrandfather

Definition:

Description:The player of the role is the biological father of the scoping person's biological mother's parent.

Concept Relationships:
  Specializes: GGRPRN

4-L . . . . MGGRMTH MaternalGreatgrandmother

Definition:

Description:The player of the role is the biological mother of the scoping person's biological mother's parent.

Concept Relationships:
  Specializes: GGRPRN

4-L . . . . MGGRPRN MaternalGreatgrandparent

Definition:

Description:The player of the role is a biological parent of the scoping person's biological mother's parent.

Concept Relationships:
  Specializes: GGRPRN

4-L . . . . PGGRFTH PaternalGreatgrandfather

Definition:

Description:The player of the role is the biological father of the scoping person's biological father's parent.

Concept Relationships:
  Specializes: GGRPRN

4-L . . . . PGGRMTH PaternalGreatgrandmother

Definition:

Description:The player of the role is the biological mother of the scoping person's biological father's parent.

Concept Relationships:
  Specializes: GGRPRN

4-L . . . . PGGRPRN PaternalGreatgrandparent

Definition:

Description:The player of the role is a biological parent of the scoping person's biological father's parent.

Concept Relationships:
  Specializes: GGRPRN

3-S . . . GRNDCHILD
. . .   v:GrandChild		 grandchild

Definition:

The player of the role is a child of the scoping person's son or daughter.

Concept Relationships:
  Specializes: EXT
  Generalizes (derived): GRNDDAU GRNDSON

4-L . . . . GRNDDAU granddaughter

Definition:

The player of the role is a daughter of the scoping person's son or daughter.

Concept Relationships:
  Specializes: GRNDCHILD

4-L . . . . GRNDSON grandson

Definition:

The player of the role is a son of the scoping person's son or daughter.

Concept Relationships:
  Specializes: GRNDCHILD

3-S . . . GRPRN
. . .   v:Grandparent		 Grandparent

Definition:

The player of the role is a parent of the scoping person's mother or father.

Concept Relationships:
  Specializes: EXT
  Generalizes (derived): GRFTH GRMTH MGRFTH MGRMTH MGRPRN PGRFTH PGRMTH PGRPRN

4-L . . . . GRFTH Grandfather

Definition:

The player of the role is the father of the scoping person's mother or father.

Concept Relationships:
  Specializes: GRPRN

4-L . . . . GRMTH Grandmother

Definition:

The player of the role is the mother of the scoping person's mother or father.

Concept Relationships:
  Specializes: GRPRN

4-L . . . . MGRFTH MaternalGrandfather

Definition:

Description:The player of the role is the biological father of the scoping person's biological mother.

Concept Relationships:
  Specializes: GRPRN

4-L . . . . MGRMTH MaternalGrandmother

Definition:

Description:The player of the role is the biological mother of the scoping person's biological mother.

Concept Relationships:
  Specializes: GRPRN

4-L . . . . MGRPRN MaternalGrandparent

Definition:

Description:The player of the role is the biological parent of the scoping person's biological mother.

Concept Relationships:
  Specializes: GRPRN

4-L . . . . PGRFTH PaternalGrandfather

Definition:

Description:The player of the role is the biological father of the scoping person's biological father.

Concept Relationships:
  Specializes: GRPRN

4-L . . . . PGRMTH PaternalGrandmother

Definition:

Description:The player of the role is the biological mother of the scoping person's biological father.

Concept Relationships:
  Specializes: GRPRN

4-L . . . . PGRPRN PaternalGrandparent

Definition:

Description:The player of the role is the biological parent of the scoping person's biological father.

Concept Relationships:
  Specializes: GRPRN

3-S . . . NIENEPH
. . .   v:NieceNephew		 niece/nephew

Definition:

The player of the role is a child of scoping person's brother or sister or of the brother or sister of the scoping person's spouse.

Concept Relationships:
  Specializes: EXT
  Generalizes (derived): NEPHEW NIECE

4-L . . . . NEPHEW nephew

Definition:

The player of the role is a son of the scoping person's brother or sister or of the brother or sister of the scoping person's spouse.

Concept Relationships:
  Specializes: NIENEPH

4-L . . . . NIECE niece

Definition:

The player of the role is a daughter of the scoping person's brother or sister or of the brother or sister of the scoping person's spouse.

Concept Relationships:
  Specializes: NIENEPH

3-S . . . UNCLE uncle

Definition:

The player of the role is a brother of the scoping person's mother or father.

Concept Relationships:
  Specializes: EXT
  Generalizes (derived): MUNCLE PUNCLE

4-L . . . . MUNCLE MaternalUncle

Definition:

Description:The player of the role is a biological brother of the scoping person's biological mother.

Concept Relationships:
  Specializes: UNCLE

4-L . . . . PUNCLE PaternalUncle

Definition:

Description:The player of the role is a biological brother of the scoping person's biological father.

Concept Relationships:
  Specializes: UNCLE

2-S . . PRN
. .   v:Parent		 Parent

Definition:

The player of the role is one who begets, gives birth to, or nurtures and raises the scoping entity (child).

Concept Relationships:
  Specializes: FAMMEMB
  Generalizes (derived): FTH MTH NPRN PRNINLAW STPPRN

3-L . . . FTH Father

Definition:

The player of the role is a male who begets or raises or nurtures the scoping entity (child).

Concept Relationships:
  Specializes: PRN

3-L . . . MTH Mother

Definition:

The player of the role is a female who conceives, gives birth to, or raises and nurtures the scoping entity (child).

Concept Relationships:
  Specializes: PRN

3-S . . . NPRN
. . .   v:NaturalParent		 natural parent

Concept Relationships:
  Specializes: PRN
  Generalizes (derived): NFTH NMTH

4-S . . . . NFTH natural father

Definition:

The player of the role is a male who begets the scoping entity (child).

Concept Relationships:
  Specializes: NPRN
  Generalizes (derived): NFTHF

5-L . . . . . NFTHF natural father of fetus

Definition:

Indicates the biologic male parent of a fetus.

Concept Relationships:
  Specializes: NFTH

4-L . . . . NMTH natural mother

Definition:

The player of the role is a female who conceives or gives birth to the scoping entity (child).

Concept Relationships:
  Specializes: NPRN

3-S . . . PRNINLAW
. . .   v:ParentInLaw		 parent in-law

Definition:

The player of the role is the parent of scoping person's husband or wife.

Concept Relationships:
  Specializes: PRN
  Generalizes (derived): FTHINLAW MTHINLAW

4-L . . . . FTHINLAW father-in-law

Definition:

The player of the role is the father of the scoping person's husband or wife.

Concept Relationships:
  Specializes: PRNINLAW

4-L . . . . MTHINLAW mother-in-law

Definition:

The player of the role is the mother of the scoping person's husband or wife.

Concept Relationships:
  Specializes: PRNINLAW

3-S . . . STPPRN
. . .   v:StepParent		 step parent

Definition:

The player of the role is the spouse of the scoping person's parent and not the scoping person's natural parent.

Concept Relationships:
  Specializes: PRN
  Generalizes (derived): STPFTH STPMTH

4-L . . . . STPFTH stepfather

Definition:

The player of the role is the husband of scoping person's mother and not the scoping person's natural father.

Concept Relationships:
  Specializes: STPPRN

4-L . . . . STPMTH stepmother

Definition:

The player of the role is the wife of scoping person's father and not the scoping person's natural mother.

Concept Relationships:
  Specializes: STPPRN

2-S . . SIB
. .   v:Sibling		 Sibling

Definition:

The player of the role shares one or both parents in common with the scoping entity.

Concept Relationships:
  Specializes: FAMMEMB
  Generalizes (derived): BRO HSIB NSIB SIBINLAW SIS STPSIB

3-L . . . BRO Brother

Definition:

The player of the role is a male sharing one or both parents in common with the scoping entity.

Concept Relationships:
  Specializes: SIB

3-S . . . HSIB
. . .   v:HalfSibling		 half-sibling

Definition:

The player of the role is related to the scoping entity by sharing only one biological parent.

Concept Relationships:
  Specializes: SIB
  Generalizes (derived): HBRO HSIS

4-L . . . . HBRO half-brother

Definition:

The player of the role is a male related to the scoping entity by sharing only one biological parent.

Concept Relationships:
  Specializes: HSIB

4-L . . . . HSIS half-sister

Definition:

The player of the role is a female related to the scoping entity by sharing only one biological parent.

Concept Relationships:
  Specializes: HSIB

3-S . . . NSIB
. . .   v:NaturalSibling		 natural sibling

Definition:

The player of the role has both biological parents in common with the scoping entity.

Concept Relationships:
  Specializes: SIB
  Generalizes (derived): NBRO NSIS

4-L . . . . NBRO natural brother

Definition:

The player of the role is a male having the same biological parents as the scoping entity.

Concept Relationships:
  Specializes: NSIB

4-L . . . . NSIS natural sister

Definition:

The player of the role is a female having the same biological parents as the scoping entity.

Concept Relationships:
  Specializes: NSIB

3-S . . . SIBINLAW
. . .   v:SiblingInLaw		 sibling in-law

Definition:

The player of the role is: (1) a sibling of the scoping person's spouse, or (2) the spouse of the scoping person's sibling, or (3) the spouse of a sibling of the scoping person's spouse.

Concept Relationships:
  Specializes: SIB
  Generalizes (derived): BROINLAW SISINLAW

4-L . . . . BROINLAW brother-in-law

Definition:

The player of the role is: (1) a brother of the scoping person's spouse, or (2) the husband of the scoping person's sister, or (3) the husband of a sister of the scoping person's spouse.

Concept Relationships:
  Specializes: SIBINLAW

4-L . . . . SISINLAW sister-in-law

Definition:

The player of the role is: (1) a sister of the scoping person's spouse, or (2) the wife of the scoping person's brother, or (3) the wife of a brother of the scoping person's spouse.

Concept Relationships:
  Specializes: SIBINLAW

3-L . . . SIS Sister

Definition:

The player of the role is a female sharing one or both parents in common with the scoping entity.

Concept Relationships:
  Specializes: SIB

3-S . . . STPSIB
. . .   v:StepSibling		 step sibling

Definition:

The player of the role is a child of the scoping person's stepparent.

Concept Relationships:
  Specializes: SIB
  Generalizes (derived): STPBRO STPSIS

4-L . . . . STPBRO stepbrother

Definition:

The player of the role is a son of the scoping person's stepparent.

Concept Relationships:
  Specializes: STPSIB

4-L . . . . STPSIS stepsister

Definition:

The player of the role is a daughter of the scoping person's stepparent.

Concept Relationships:
  Specializes: STPSIB

2-S . . SIGOTHR
. .   v:SignificantOtherRoleType		 significant other

Definition:

A person who is important to one's well being; especially a spouse or one in a similar relationship. (The player is the one who is important)

Concept Relationships:
  Specializes: FAMMEMB
  Generalizes (derived): DOMPART SPS

3-L . . . DOMPART domestic partner

Definition:

The player of the role cohabits with the scoping person but is not the scoping person's spouse.

Concept Relationships:
  Specializes: SIGOTHR

3-S . . . SPS
. . .   v:Spouse		 spouse

Definition:

The player of the role is a marriage partner of the scoping person.

Concept Relationships:
  Specializes: SIGOTHR
  Generalizes (derived): HUSB WIFE

4-L . . . . HUSB husband

Definition:

The player of the role is a man joined to a woman (scoping person) in marriage.

Concept Relationships:
  Specializes: SPS

4-L . . . . WIFE wife

Definition:

The player of the role is a woman joined to a man (scoping person) in marriage.

Concept Relationships:
  Specializes: SPS

1-L . FRND unrelated friend

Definition:

The player of the role is a person who is known, liked, and trusted by the scoping person.

Concept Relationships:
  Specializes: _PersonalRelationshipRoleType

1-L . NBOR neighbor

Definition:

The player of the role lives near or next to the scoping person.

Concept Relationships:
  Specializes: _PersonalRelationshipRoleType

1-L . ROOM Roommate

Definition:

One who shares living quarters with the subject.

Concept Relationships:
  Specializes: _PersonalRelationshipRoleType

0-A _PolicyOrProgramCoverageRoleType
 v:PolicyOrProgramCoverageRoleType		 PolicyOrProgramCoverageRoleType

Definition:

Description: A role recognized through the eligibility of an identified party for benefits covered under an insurance policy or a program based on meeting eligibility criteria.

Eligibility as a covered party may be conditioned on the party meeting criteria to qualify for coverage under a policy or program, which may be mandated by law. These criteria may be:

  1. The sole basis for coverage, e.g., being differently abled may qualify a person for disability coverage

  2. May more fully qualify a covered party role e.g, being differently abled may qualify an adult child as a dependent

  3. May impact the level of coverage for a covered party under a policy or program, e.g., being differently abled may qualify a program eligible for additional benefits.

Discussion: The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". These role.codes may only be used with COVPTY to avoid overlapping concepts that would result from using them to specify the specializations of COVPTY, e.g., the role.class DEPEN should not be used with the role.code family dependent because that relationship has overlapping concepts due to the role.code precoodination and is conveyed in FICO with the personal relationship role that has a PART role link to the covered party role. For the same reasons, the role.class DEPEN should not be used with the role.code HANDIC (handicapped dependent); the role.code DIFFABLE (differently abled) should be used instead.

In summary, the coded concepts in the Abstract Value Set "CoveredPartyRoleType" can be "post-coordinated" with the "RoleClassCoveredParty" Abstract Value Set. Decoupling these concepts is intended to support an expansive range of covered party concepts and their semantic comparability.

Concept Relationships:
  Generalizes (derived): _CoverageRoleType _CoveredPartyRoleType

1-A . _CoverageRoleType
.   v:CoverageRoleType		 CoverageRoleType

Definition:

Role recognized through the issuance of insurance coverage to an identified covered party who has this relationship with the policy holder such as the policy holder themselves (self), spouse, child, etc

Concept Relationships:
  Specializes: _PolicyOrProgramCoverageRoleType
  Generalizes (derived): FAMDEP HANDIC INJ SELF SPON STUD

2-L . . FAMDEP family dependent

Definition:

The player of the role is dependent of the scoping entity.

Concept Relationships:
  Specializes: _CoverageRoleType

2-L . . HANDIC handicapped dependent

Definition:

Covered party is a dependent of the policy holder with a physical or mental disability causing a disadvantage that makes independent achievement unusually difficult.

Concept Relationships:
  Specializes: _CoverageRoleType

2-L . . INJ injured plaintiff

Definition:

Covered party is an injured party with a legal claim for compensation against a policy holder under an insurance policy.

Concept Relationships:
  Specializes: _CoverageRoleType

2-L . . SELF self

Definition:

Covered party is the policy holder. Also known as the subscriber.

Concept Relationships:
  Specializes: _CoverageRoleType

2-L . . SPON sponsored dependent

Definition:

Covered party is an individual that the policy holder has assumed responsibility for, such as foster child or legal ward.

Concept Relationships:
  Specializes: _CoverageRoleType

2-S . . STUD
. .   v:StudentRoleType		 student

Definition:

Covered party to an insurance policy has coverage through full-time or part-time attendance at a recognized educational institution as defined by a particular insurance policy.

Concept Relationships:
  Specializes: _CoverageRoleType
  Generalizes (derived): FSTUD PSTUD

3-L . . . FSTUD full-time student

Definition:

Covered party to an insurance policy has coverage through full-time attendance at a recognized educational institution as defined by a particular insurance policy.

Concept Relationships:
  Specializes: STUD

3-L . . . PSTUD part-time student

Definition:

Covered party to an insurance policy has coverage through part-time attendance at a recognized educational institution as defined by a particular insurance policy.

Concept Relationships:
  Specializes: STUD

1-A . _CoveredPartyRoleType
.   v:CoveredPartyRoleType		 covered party role type

Definition:

A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder.

Example:An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent.

Discussion: The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". Other codes in the Abstract Value Set CoveredPartyRoleType domain can be "post-coordinated" with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts.

Concept Relationships:
  Specializes: _PolicyOrProgramCoverageRoleType
  Generalizes (derived): _ClaimantCoveredPartyRoleType _DependentCoveredPartyRoleType _IndividualInsuredPartyRoleType _ProgramEligiblePartyRoleType _SubscriberCoveredPartyRoleType
  ClassifiesClassCode to: COVPTY

2-A . . _ClaimantCoveredPartyRoleType
. .   v:ClaimantCoveredPartyRoleType		 ClaimantCoveredPartyRoleType

Definition:

DescriptionA role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy.

Concept Relationships:
  Specializes: _CoveredPartyRoleType
  Generalizes (derived): CRIMEVIC INJWKR
  ClassifiesClassCode to: COVPTY

3-L . . . CRIMEVIC crime victim

Definition:

Description: A person playing the role of program eligible under a program based on allegations of being the victim of a crime.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a crime victim meets jurisdictional or program criteria.

Concept Relationships:
  Specializes: _ClaimantCoveredPartyRoleType _ProgramEligiblePartyRoleType

3-L . . . INJWKR injured worker

Definition:

Description: A person playing the role of program eligible under a workers compensation program based on the filing of work-related injury claim.

Discussion: This CoveredPartyRoleType.code is used when the CoveredPartyRole class code is either "program eligible", a "named insured", and "individual insured", or "dependent", and the person's status as differently abled or "handicapped" meets jurisdictional, policy, or program criteria.

Concept Relationships:
  Specializes: _ClaimantCoveredPartyRoleType _ProgramEligiblePartyRoleType

2-A . . _DependentCoveredPartyRoleType
. .   v:DependentCoveredPartyRoleType		 DependentCoveredPartyRoleType

Definition:

Description: A role recognized through the eligibility of a party to play a dependent for benefits covered or provided under a health insurance policy because of an association with the subscriber that is recognized by the policy underwriter.

Concept Relationships:
  Specializes: _CoveredPartyRoleType
  Generalizes (derived): COCBEN DIFFABL WARD
  ClassifiesClassCode to: COVPTY

3-L . . . COCBEN continuity of coverage beneficiary

Definition:

Description: A person playing the role of an individual insured with continuity of coverage under a policy which is being terminated based on loss of original status that was the basis for coverage. Criteria for qualifying for continuity of coverage may be set by law.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a continuity of coverage beneficiary meets jurisdictional or policy criteria.

Concept Relationships:
  Specializes: _DependentCoveredPartyRoleType _IndividualInsuredPartyRoleType _SubscriberCoveredPartyRoleType

3-L . . . DIFFABL differently abled

Definition:

Description: A person playing the role of program eligible under a program based on meeting criteria for health or functional limitation set by law or by the program.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible", "named insured", "individual insured", or "dependent", and the person's status as differently abled meets jurisdictional, policy, or program criteria.

Concept Relationships:
  Specializes: _DependentCoveredPartyRoleType _ProgramEligiblePartyRoleType

3-L . . . WARD ward

Definition:

Description: A person, who is a minor or is deemed incompetent, who plays the role of a program eligible where eligibility for coverage is based on meeting program eligibility criteria for status as a ward of a court or jurisdiction.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is a "claimant", "program eligible", a "named insured", an "individual Insured" or a "dependent", and the person's status as a ward meets program or policy criteria. In the case of a ward covered under a program providing financial or health benefits, a governmental agency may take temporary custody of a minor or incompetent for his/her protection and care, e.g., if the ward is suffering from neglect or abuse, or has been in trouble with the law.

Concept Relationships:
  Specializes: _DependentCoveredPartyRoleType _ProgramEligiblePartyRoleType

2-A . . _IndividualInsuredPartyRoleType
. .   v:IndividualInsuredCoveredPartyRoleType		 IndividualInsuredPartyRoleType

Definition:

A role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder.

Concept Relationships:
  Specializes: _CoveredPartyRoleType
  Generalizes (derived): COCBEN RETIREE
  ClassifiesClassCode to: COVPTY

3-L . . . COCBEN continuity of coverage beneficiary

Definition:

Description: A person playing the role of an individual insured with continuity of coverage under a policy which is being terminated based on loss of original status that was the basis for coverage. Criteria for qualifying for continuity of coverage may be set by law.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a continuity of coverage beneficiary meets jurisdictional or policy criteria.

Concept Relationships:
  Specializes: _DependentCoveredPartyRoleType _IndividualInsuredPartyRoleType _SubscriberCoveredPartyRoleType

3-L . . . RETIREE retiree

Definition:

Description: A person playing the role of an individual insured under a policy based on meeting criteria for the employment status of retired set by law or the policy.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a retiree meets jurisdictional or policy criteria.

Concept Relationships:
  Specializes: _IndividualInsuredPartyRoleType _SubscriberCoveredPartyRoleType

2-A . . _ProgramEligiblePartyRoleType
. .   v:ProgramEligibleCoveredPartyRoleType		 ProgramEligiblePartyRoleType

Definition:

Description:A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program.

Concept Relationships:
  Specializes: _CoveredPartyRoleType
  Generalizes (derived): CRIMEVIC DIFFABL INDIG INJWKR MIL WARD

3-L . . . CRIMEVIC crime victim

Definition:

Description: A person playing the role of program eligible under a program based on allegations of being the victim of a crime.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a crime victim meets jurisdictional or program criteria.

Concept Relationships:
  Specializes: _ClaimantCoveredPartyRoleType _ProgramEligiblePartyRoleType

3-L . . . DIFFABL differently abled

Definition:

Description: A person playing the role of program eligible under a program based on meeting criteria for health or functional limitation set by law or by the program.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible", "named insured", "individual insured", or "dependent", and the person's status as differently abled meets jurisdictional, policy, or program criteria.

Concept Relationships:
  Specializes: _DependentCoveredPartyRoleType _ProgramEligiblePartyRoleType

3-L . . . INDIG member of an indigenous people

Definition:

Description: A person playing the role of program eligible under a program based on aboriginal ancestry or as a member of an aboriginal community.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a member of an indigenous people meets jurisdictional or program criteria.

Concept Relationships:
  Specializes: _ProgramEligiblePartyRoleType

3-L . . . INJWKR injured worker

Definition:

Description: A person playing the role of program eligible under a workers compensation program based on the filing of work-related injury claim.

Discussion: This CoveredPartyRoleType.code is used when the CoveredPartyRole class code is either "program eligible", a "named insured", and "individual insured", or "dependent", and the person's status as differently abled or "handicapped" meets jurisdictional, policy, or program criteria.

Concept Relationships:
  Specializes: _ClaimantCoveredPartyRoleType _ProgramEligiblePartyRoleType

3-S . . . MIL
. . .   v:MilitaryRoleType		 military

Definition:

Definition: A person playing the role of program eligible under a program based on military status.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a member of the military meets jurisdictional or program criteria

Concept Relationships:
  Specializes: _ProgramEligiblePartyRoleType _SubscriberCoveredPartyRoleType
  Generalizes (derived): ACTMIL RETMIL VET

4-L . . . . ACTMIL active duty military

Definition:

Description: A person playing the role of program eligible under a program based on active military status.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as active duty military meets jurisdictional or program criteria.

Concept Relationships:
  Specializes: MIL

4-L . . . . RETMIL retired military

Definition:

Description: A person playing the role of program eligible under a program based on retired military status.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as retired military meets jurisdictional or program criteria.

Concept Relationships:
  Specializes: MIL

4-L . . . . VET veteran

Definition:

Description: A person playing the role of program eligible under a program based on status as a military veteran.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as a veteran meets jurisdictional or program criteria.

Concept Relationships:
  Specializes: MIL

3-L . . . WARD ward

Definition:

Description: A person, who is a minor or is deemed incompetent, who plays the role of a program eligible where eligibility for coverage is based on meeting program eligibility criteria for status as a ward of a court or jurisdiction.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is a "claimant", "program eligible", a "named insured", an "individual Insured" or a "dependent", and the person's status as a ward meets program or policy criteria. In the case of a ward covered under a program providing financial or health benefits, a governmental agency may take temporary custody of a minor or incompetent for his/her protection and care, e.g., if the ward is suffering from neglect or abuse, or has been in trouble with the law.

Concept Relationships:
  Specializes: _DependentCoveredPartyRoleType _ProgramEligiblePartyRoleType

2-A . . _SubscriberCoveredPartyRoleType
. .   v:SubscriberCoveredPartyRoleType		 SubscriberCoveredPartyRoleType

Definition:

Description: A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy.

Concept Relationships:
  Specializes: _CoveredPartyRoleType
  Generalizes (derived): COCBEN MIL RETIREE
  ClassifiesClassCode to: COVPTY

3-L . . . COCBEN continuity of coverage beneficiary

Definition:

Description: A person playing the role of an individual insured with continuity of coverage under a policy which is being terminated based on loss of original status that was the basis for coverage. Criteria for qualifying for continuity of coverage may be set by law.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a continuity of coverage beneficiary meets jurisdictional or policy criteria.

Concept Relationships:
  Specializes: _DependentCoveredPartyRoleType _IndividualInsuredPartyRoleType _SubscriberCoveredPartyRoleType

3-S . . . MIL
. . .   v:MilitaryRoleType		 military

Definition:

Definition: A person playing the role of program eligible under a program based on military status.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a member of the military meets jurisdictional or program criteria

Concept Relationships:
  Specializes: _ProgramEligiblePartyRoleType _SubscriberCoveredPartyRoleType
  Generalizes (derived): ACTMIL RETMIL VET

4-L . . . . ACTMIL active duty military

Definition:

Description: A person playing the role of program eligible under a program based on active military status.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as active duty military meets jurisdictional or program criteria.

Concept Relationships:
  Specializes: MIL

4-L . . . . RETMIL retired military

Definition:

Description: A person playing the role of program eligible under a program based on retired military status.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as retired military meets jurisdictional or program criteria.

Concept Relationships:
  Specializes: MIL

4-L . . . . VET veteran

Definition:

Description: A person playing the role of program eligible under a program based on status as a military veteran.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as a veteran meets jurisdictional or program criteria.

Concept Relationships:
  Specializes: MIL

3-L . . . RETIREE retiree

Definition:

Description: A person playing the role of an individual insured under a policy based on meeting criteria for the employment status of retired set by law or the policy.

Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a retiree meets jurisdictional or policy criteria.

Concept Relationships:
  Specializes: _IndividualInsuredPartyRoleType _SubscriberCoveredPartyRoleType

0-A _ResearchSubjectRoleBasis
 v:ResearchSubjectRoleBasis		 ResearchSubjectRoleBasis

Definition:

Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established. Examples: screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the active treatment portion of the design.

Concept Relationships:
  Generalizes (derived): ERL SCN
  ClassifiesClassCode to: RESBJ

1-L . ERL enrollment

Definition:

Definition:The specific role being played by a research subject participating in the active treatment or primary data collection portion of a research study.

Concept Relationships:
  Specializes: _ResearchSubjectRoleBasis

1-L . SCN screening

Definition:

Definition:The specific role being played by a research subject participating in the pre-enrollment evaluation portion of a research study.

Concept Relationships:
  Specializes: _ResearchSubjectRoleBasis

0-A _ServiceDeliveryLocationRoleType
 v:ServiceDeliveryLocationRoleType		 ServiceDeliveryLocationRoleType

Definition:

A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.

Concept Relationships:
  Generalizes (derived): _DedicatedServiceDeliveryLocationRoleType _IncidentalServiceDeliveryLocationRoleType
  ClassifiesClassCode to: SDLOC

1-A . _DedicatedServiceDeliveryLocationRoleType
.   v:DedicatedServiceDeliveryLocationRoleType		 DedicatedServiceDeliveryLocationRoleType

Definition:

A role of a place that further classifies a setting that is intended to house the provision of services.

Concept Relationships:
  Specializes: _ServiceDeliveryLocationRoleType
  Generalizes (derived): _DedicatedClinicalLocationRoleType _DedicatedNonClinicalLocationRoleType
  ClassifiesClassCode to: DSDLOC

2-A . . _DedicatedClinicalLocationRoleType
. .   v:DedicatedClinicalLocationRoleType		 DedicatedClinicalLocationRoleType

Definition:

A role of a place that further classifies the clinical setting (e.g., cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) in which care is delivered during an encounter.

Concept Relationships:
  Specializes: _DedicatedServiceDeliveryLocationRoleType
  Generalizes (derived): DX HOSP HU NCCF OF RTF

3-S . . . DX
. . .   v:DiagTherPracticeSetting		 Diagnostics or therapeutics unit

Definition:

A practice setting where diagnostic procedures or therapeutic interventions are performed

OpenIssue:

Concept Relationships:
  Specializes: _DedicatedClinicalLocationRoleType
  Generalizes (derived): CVDX GIDX RADDX

4-S . . . . CVDX
. . . .   v:CVDiagTherPracticeSetting		 Cardiovascular diagnostics or therapeutics unit

Definition:

A practice setting where cardiovascular diagnostic procedures or therapeutic interventions are performed (e.g., cardiac catheterization lab, echocardiography suite)

OpenIssue:

Concept Relationships:
  Specializes: DX
  Generalizes (derived): CATH ECHO

5-L . . . . . CATH Cardiac catheterization lab

Concept Relationships:
  Specializes: CVDX

5-L . . . . . ECHO Echocardiography lab

Concept Relationships:
  Specializes: CVDX

4-S . . . . GIDX
. . . .   v:GIDiagTherPracticeSetting		 Gastroenterology diagnostics or therapeutics lab

Definition:

A practice setting where GI procedures (such as endoscopies) are performed

OpenIssue:

Concept Relationships:
  Specializes: DX
  Generalizes (derived): ENDOS

5-L . . . . . ENDOS Endoscopy lab
Ambulatory Health Care Facilities; Clinic/Center; Endoscopy

Definition:

(X12N 261QD0000N)

Concept Relationships:
  Specializes: GIDX

4-S . . . . RADDX Radiology diagnostics or therapeutics unit
Ambulatory Health Care Facilities; Clinic/Center; Radiology

Definition:

A practice setting where radiology services (diagnostic or therapeutic) are provided (X12N 261QR0200N)

OpenIssue:

Concept Relationships:
  Specializes: DX
  Generalizes (derived): RADO RNEU

5-L . . . . . RADO Radiation oncology unit
Ambulatory Health Care Facilities; Clinic/Center; Oncology, Radiation

Definition:

(X12N 261QX0203N)

Concept Relationships:
  Specializes: RADDX

5-L . . . . . RNEU Neuroradiology unit

Concept Relationships:
  Specializes: RADDX

3-S . . . HOSP
. . .   v:HospitalPracticeSetting		 Hospital

Definition:

An acute care institution that provides medical, surgical, or psychiatric care and treatment for the sick or the injured.

Concept Relationships:
  Specializes: _DedicatedClinicalLocationRoleType
  Generalizes (derived): CHR GACH MHSP PSYCHF RH

4-L . . . . CHR Chronic Care Facility
Hospitals; Chronic Disease Hospital

Definition:

(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes

Concept Relationships:
  Specializes: HOSP

4-L . . . . GACH Hospitals; General Acute Care Hospital
General acute care hospital

Definition:

(X12N 282N00000N)

Concept Relationships:
  Specializes: HOSP

4-L . . . . MHSP
. . . .   v:MilitaryHospital		 Military Hospital
MilitaryHospital

Definition:

A health care facility operated by the Department of Defense or other military operation.

Concept Relationships:
  Specializes: HOSP

4-L . . . . PSYCHF Psychatric Care Facility

Definition:

Healthcare facility that cares for patients with psychiatric illness(s).

Concept Relationships:
  Specializes: HOSP

4-S . . . . RH Rehabilitation hospital
Hospitals; Rehabilitation Hospital

Definition:

(X12N 283X00000N)

Concept Relationships:
  Specializes: HOSP
  Generalizes (derived): RHAT RHII RHMAD RHPI RHYAD

5-L . . . . . RHAT addiction treatment center

Definition:

Description: A location that plays the role of delivering services which may include life training and/or social support to people with addictions.

Concept Relationships:
  Specializes: RH

5-L . . . . . RHII intellectual impairment center

Definition:

Description: A location that plays the role of delivering services which may include adaptation, rehabilitation and social integration services for people with intellectual and/or pervasive development disorders such as autism or severe behaviour disorder.

Concept Relationships:
  Specializes: RH

5-L . . . . . RHMAD parents with adjustment difficulties center

Definition:

Description: A location that plays the role of delivering services which may social support services for adolescents who are pregnant or have child and are experiencing adaptation issues/difficulties in their current or eventual parenting role.

Concept Relationships:
  Specializes: RH

5-S . . . . . RHPI physical impairment center

Definition:

Description: A location that plays the role of delivering services which may include adaptation, rehabilitation and social integration services for people with physical impairments.

Concept Relationships:
  Specializes: RH
  Generalizes (derived): RHPIH RHPIMS RHPIVS

6-L . . . . . . RHPIH physical impairment - hearing center

Definition:

Description: A location that plays the role of delivering services for people with hearing impairments.

Concept Relationships:
  Specializes: RHPI

6-L . . . . . . RHPIMS physical impairment - motor skills center

Definition:

Description: A location that plays the role of delivering services for people with motor skill impairments.

Concept Relationships:
  Specializes: RHPI

6-L . . . . . . RHPIVS physical impairment - visual skills center

Definition:

Description: A location that plays the role of delivering services for people with visual skill impairments.

Concept Relationships:
  Specializes: RHPI

5-L . . . . . RHYAD youths with adjustment difficulties center

Definition:

Description: A location that plays the role of delivering services which may include life training and/or social support services for the adaption, rehabilitation and social integration of youths with adjustment difficulties.

Concept Relationships:
  Specializes: RH

3-S . . . HU
. . .   v:HospitalUnitPracticeSetting		 Hospital unit

Concept Relationships:
  Specializes: _DedicatedClinicalLocationRoleType
  Generalizes (derived): BMTU CCU CHEST EPIL ER HD HLAB HRAD HUSCS ICU INPHARM MBL NCCS NS OUTPHARM PEDU PHU RHU SLEEP

4-L . . . . BMTU Bone marrow transplant unit

Concept Relationships:
  Specializes: HU

4-L . . . . CCU Coronary care unit

Concept Relationships:
  Specializes: HU

4-L . . . . CHEST Chest unit

Definition:

A specialty unit in hospital that focuses on chronic respirator patients and pulmonary failure

Concept Relationships:
  Specializes: HU

4-L . . . . EPIL Epilepsy unit

Concept Relationships:
  Specializes: HU

4-S . . . . ER
. . . .   v:ERPracticeSetting		 Emergency room

Definition:

The section of a health care facility for providing rapid treatment to victims of sudden illness or trauma.

Concept Relationships:
  Specializes: HU
  Generalizes (derived): ETU

5-L . . . . . ETU Emergency trauma unit

Concept Relationships:
  Specializes: ER

4-L . . . . HD Hemodialysis unit

Concept Relationships:
  Specializes: HU

4-S . . . . HLAB hospital laboratory

Definition:

Description: A location that plays the role of delivering services which may include tests done based on clinical specimens to get health information about a patient as pertaining to the diagnosis, treatment and prevention of disease. Hospital laboratories may be further divided into specialized units such as Anatomic Pathology, Microbiology, and Biochemistry.

Concept Relationships:
  Specializes: HU
  Generalizes (derived): INLAB OUTLAB

5-L . . . . . INLAB inpatient laboratory

Definition:

Description: A location that plays the role of delivering services which may include tests are done on clinical specimens to get health information about a patient pertaining to the diagnosis, treatment, and prevention of disease for a hospital visit longer than one day.

Concept Relationships:
  Specializes: HLAB

5-L . . . . . OUTLAB outpatient laboratory

Definition:

Description: A location that plays the role of delivering services which may include tests are done on clinical specimens to get health information about a patient pertaining to the diagnosis, treatment, and prevention of disease for same day visits.

Concept Relationships:
  Specializes: HLAB

4-L . . . . HRAD radiology unit

Definition:

Description: A location that plays the role of delivering services which may include the branch of medicine that uses ionizing and non-ionizing radiation to diagnose and treat diseases. The radiology unit may be further divided into subspecialties such as Imaging, Cardiovascular, Thoracic, and Ultrasound.

Concept Relationships:
  Specializes: HU

4-L . . . . HUSCS specimen collection site

Definition:

Description: A location that plays the role of delivering services which may include collecting specimens and/or samples from patients for laboratory testing purposes, but does not perform any tests or analysis functions.

Concept Relationships:
  Specializes: HU

4-S . . . . ICU
. . . .   v:ICUPracticeSetting		 Intensive care unit

Concept Relationships:
  Specializes: HU
  Generalizes (derived): PEDICU

5-S . . . . . PEDICU
. . . . .   v:PedsICUPracticeSetting		 Pediatric intensive care unit

OpenIssue:

Concept Relationships:
  Specializes: ICU PEDU
  Generalizes (derived): PEDNICU

6-L . . . . . . PEDNICU Pediatric neonatal intensive care unit

Concept Relationships:
  Specializes: PEDICU

4-L . . . . INPHARM inpatient pharmacy

Definition:

Description: A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for visits longer than one day. The distinction between inpatient pharmacies and retail (or outpatient) pharmacies is that they are part of a patient's continuity of care while staying in the hospital.

Concept Relationships:
  Specializes: HU PHARM

4-L . . . . MBL medical laboratory

Definition:

Description: A location that plays the role of delivering services which include biochemistry, hematology, microbiology, immunochemistry, and toxicology.

Concept Relationships:
  Specializes: HU

4-L . . . . NCCS Neurology critical care and stroke unit

Concept Relationships:
  Specializes: HU

4-L . . . . NS Neurosurgery unit

Concept Relationships:
  Specializes: HU

4-L . . . . OUTPHARM outpatient pharmacy

Definition:

Description: A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for outpatient visits and may also be used for discharge prescriptions.

Concept Relationships:
  Specializes: HU PHARM

4-S . . . . PEDU
. . . .   v:PedsPracticeSetting		 Pediatric unit

OpenIssue:

Concept Relationships:
  Specializes: HU
  Generalizes (derived): PEDICU

5-S . . . . . PEDICU
. . . . .   v:PedsICUPracticeSetting		 Pediatric intensive care unit

OpenIssue:

Concept Relationships:
  Specializes: ICU PEDU
  Generalizes (derived): PEDNICU

6-L . . . . . . PEDNICU Pediatric neonatal intensive care unit

Concept Relationships:
  Specializes: PEDICU

4-L . . . . PHU Psychiatric hospital unit
Hospital Units; Psychiatric Unit

Definition:

(X12N 273R00000N)

Concept Relationships:
  Specializes: HU

4-L . . . . RHU Rehabilitation hospital unit
Hospital Units; Rehabilitation Unit

Concept Relationships:
  Specializes: HU

4-L . . . . SLEEP Sleep disorders unit

Definition:

(X12N 261QA1200N)

Concept Relationships:
  Specializes: HU

3-S . . . NCCF
. . .   v:NursingOrCustodialCarePracticeSetting		 Nursing or custodial care facility

Concept Relationships:
  Specializes: _DedicatedClinicalLocationRoleType
  Generalizes (derived): SNF

4-L . . . . SNF Skilled nursing facility
Nursing & Custodial Care Facilities; Skilled Nursing Facility

Definition:

(X12N 314000000N)

Concept Relationships:
  Specializes: NCCF

3-S . . . OF
. . .   v:OutpatientFacilityPracticeSetting		 Outpatient facility

Concept Relationships:
  Specializes: _DedicatedClinicalLocationRoleType
  Generalizes (derived): ALL AMPUT BMTC BREAST CANC CAPC CARD COAG CRS DERM ENDO ENT FMC GI GIM GYN HEM HTN IEC INFD INV LYMPH MGEN NEPH NEUR OB OMS ONCL OPH OPTC ORTHO PAINCL PC PEDC POD PREV PROCTO PROFF PROS PSI PSY RHEUM SPMED SU TR TRAVEL WND

4-L . . . . ALL Allergy clinic

Concept Relationships:
  Specializes: OF

4-L . . . . AMPUT Amputee clinic

Concept Relationships:
  Specializes: OF

4-L . . . . BMTC Bone marrow transplant clinic

Concept Relationships:
  Specializes: OF

4-L . . . . BREAST Breast clinic

Concept Relationships:
  Specializes: OF

4-L . . . . CANC Child and adolescent neurology clinic

Concept Relationships:
  Specializes: OF

4-L . . . . CAPC Child and adolescent psychiatry clinic

Concept Relationships:
  Specializes: OF

4-S . . . . CARD Ambulatory Health Care Facilities; Clinic/Center; Rehabilitation: Cardiac Facilities
Cardiology clinic

Concept Relationships:
  Specializes: OF
  Generalizes (derived): PEDCARD

5-L . . . . . PEDCARD Pediatric cardiology clinic

Concept Relationships:
  Specializes: CARD PEDC

4-L . . . . COAG Coagulation clinic

Concept Relationships:
  Specializes: OF

4-L . . . . CRS Colon and rectal surgery clinic

Concept Relationships:
  Specializes: OF

4-L . . . . DERM Dermatology clinic

Concept Relationships:
  Specializes: OF

4-S . . . . ENDO
. . . .   v:EndocrinologyClinic		 Endocrinology clinic

Concept Relationships:
  Specializes: OF
  Generalizes (derived): PEDE

5-L . . . . . PEDE Pediatric endocrinology clinic

Concept Relationships:
  Specializes: ENDO PEDC

4-L . . . . ENT Otorhinolaryngology clinic

Concept Relationships:
  Specializes: OF

4-L . . . . FMC Family medicine clinic

Concept Relationships:
  Specializes: OF

4-S . . . . GI
. . . .   v:GIClinicPracticeSetting		 Gastroenterology clinic

OpenIssue:

Concept Relationships:
  Specializes: OF
  Generalizes (derived): PEDGI

5-L . . . . . PEDGI Pediatric gastroenterology clinic

Concept Relationships:
  Specializes: GI PEDC

4-L . . . . GIM General internal medicine clinic

Concept Relationships:
  Specializes: OF

4-L . . . . GYN Gynecology clinic

Concept Relationships:
  Specializes: OF

4-S . . . . HEM
. . . .   v:HemClinPracticeSetting		 Hematology clinic

OpenIssue:

Concept Relationships:
  Specializes: OF
  Generalizes (derived): PEDHEM

5-L . . . . . PEDHEM Pediatric hematology clinic

Concept Relationships:
  Specializes: HEM PEDC

4-L . . . . HTN Hypertension clinic

Concept Relationships:
  Specializes: OF

4-L . . . . IEC Impairment evaluation center

Definition:

Focuses on assessing disability

Concept Relationships:
  Specializes: OF

4-S . . . . INFD
. . . .   v:IDClinPracticeSetting		 Infectious disease clinic

OpenIssue:

Concept Relationships:
  Specializes: OF
  Generalizes (derived): PEDID

5-L . . . . . PEDID Pediatric infectious disease clinic

Concept Relationships:
  Specializes: INFD PEDC

4-L . . . . INV Infertility clinic

Concept Relationships:
  Specializes: OF

4-L . . . . LYMPH Lympedema clinic

Concept Relationships:
  Specializes: OF

4-L . . . . MGEN Medical genetics clinic

Concept Relationships:
  Specializes: OF

4-S . . . . NEPH
. . . .   v:NephClinPracticeSetting		 Nephrology clinic

OpenIssue:

Concept Relationships:
  Specializes: OF
  Generalizes (derived): PEDNEPH

5-L . . . . . PEDNEPH Pediatric nephrology clinic

Concept Relationships:
  Specializes: NEPH PEDC

4-L . . . . NEUR Neurology clinic

Concept Relationships:
  Specializes: OF

4-L . . . . OB Obstetrics clinic

Concept Relationships:
  Specializes: OF

4-L . . . . OMS Oral and maxillofacial surgery clinic
Ambulatory Health Care Facilities; Clinic/Center; Surgery, Oral/Maxillofacial

Concept Relationships:
  Specializes: OF

4-S . . . . ONCL
. . . .   v:MedOncClinPracticeSetting		 Medical oncology clinic

OpenIssue:

Concept Relationships:
  Specializes: OF
  Generalizes (derived): PEDHO

5-L . . . . . PEDHO Pediatric oncology clinic

Concept Relationships:
  Specializes: ONCL PEDC

4-L . . . . OPH Opthalmology clinic

Concept Relationships:
  Specializes: OF

4-L . . . . OPTC optometry clinic

Definition:

Description: A location that plays the role of delivering services which may include examination, diagnosis, treatment, management, and prevention of diseases and disorders of the eye as well as prescribing and fitting appropriate corrective lenses (glasses or contact lenses) as needed. Optometry clinics may also provide tests for visual field screening, measuring intra-ocular pressure and ophthalmoscopy, as and when required.

Concept Relationships:
  Specializes: OF

4-S . . . . ORTHO
. . . .   v:OrthoClinPracticeSetting		 Orthopedics clinic

OpenIssue:

Concept Relationships:
  Specializes: OF
  Generalizes (derived): HAND

5-L . . . . . HAND Hand clinic

Concept Relationships:
  Specializes: ORTHO

4-L . . . . PAINCL Pain clinic
Ambulatory Health Care Facilities; Clinic/Center; Pain

Definition:

(X12N 261QP3300N)

Concept Relationships:
  Specializes: OF

4-L . . . . PC Primary care clinic
Ambulatory Health Care Facilities; Clinic/Center; Primary Care

Definition:

(X12N 261QP2300N)

Concept Relationships:
  Specializes: OF

4-S . . . . PEDC
. . . .   v:PedsClinPracticeSetting		 Pediatrics clinic

OpenIssue:

Concept Relationships:
  Specializes: OF
  Generalizes (derived): PEDCARD PEDE PEDGI PEDHEM PEDHO PEDID PEDNEPH PEDRHEUM

5-L . . . . . PEDCARD Pediatric cardiology clinic

Concept Relationships:
  Specializes: CARD PEDC

5-L . . . . . PEDE Pediatric endocrinology clinic

Concept Relationships:
  Specializes: ENDO PEDC

5-L . . . . . PEDGI Pediatric gastroenterology clinic

Concept Relationships:
  Specializes: GI PEDC

5-L . . . . . PEDHEM Pediatric hematology clinic

Concept Relationships:
  Specializes: HEM PEDC

5-L . . . . . PEDHO Pediatric oncology clinic

Concept Relationships:
  Specializes: ONCL PEDC

5-L . . . . . PEDID Pediatric infectious disease clinic

Concept Relationships:
  Specializes: INFD PEDC

5-L . . . . . PEDNEPH Pediatric nephrology clinic

Concept Relationships:
  Specializes: NEPH PEDC

5-L . . . . . PEDRHEUM Pediatric rheumatology clinic

Concept Relationships:
  Specializes: PEDC RHEUM

4-L . . . . POD Podiatry clinic
Ambulatory Health Care Facilities; Clinic/Center; Podiatric

Definition:

(X12N 261QP1100N)

Concept Relationships:
  Specializes: OF

4-L . . . . PREV Preventive medicine clinic

Concept Relationships:
  Specializes: OF

4-L . . . . PROCTO Proctology clinic

Concept Relationships:
  Specializes: OF

4-L . . . . PROFF Provider's Office

Definition:

Location where healthcare service was delivered, identified as the healthcare provider's practice office.

Concept Relationships:
  Specializes: OF

4-L . . . . PROS Prosthodontics clinic

Concept Relationships:
  Specializes: OF

4-L . . . . PSI Psychology clinic

Concept Relationships:
  Specializes: OF

4-L . . . . PSY Psychiatry clinic

Concept Relationships:
  Specializes: OF

4-S . . . . RHEUM
. . . .   v:RheumClinPracticeSetting		 Rheumatology clinic

Concept Relationships:
  Specializes: OF
  Generalizes (derived): PEDRHEUM

5-L . . . . . PEDRHEUM Pediatric rheumatology clinic

Concept Relationships:
  Specializes: PEDC RHEUM

4-L . . . . SPMED Sports medicine clinic

Concept Relationships:
  Specializes: OF

4-S . . . . SU
. . . .   v:SurgClinPracticeSetting		 Surgery clinic

OpenIssue:

Concept Relationships:
  Specializes: OF
  Generalizes (derived): PLS URO

5-L . . . . . PLS Plastic surgery clinic

Concept Relationships:
  Specializes: SU

5-L . . . . . URO Urology clinic

Concept Relationships:
  Specializes: SU

4-L . . . . TR Transplant clinic

Concept Relationships:
  Specializes: OF

4-L . . . . TRAVEL Travel and geographic medicine clinic

Concept Relationships:
  Specializes: OF

4-L . . . . WND Wound clinic

Concept Relationships:
  Specializes: OF

3-S . . . RTF
. . .   v:ResidentialTreatmentPracticeSetting		 Residential treatment facility

Concept Relationships:
  Specializes: _DedicatedClinicalLocationRoleType
  Generalizes (derived): PRC SURF

4-L . . . . PRC Pain rehabilitation center

Concept Relationships:
  Specializes: RTF

4-L . . . . SURF Substance use rehabilitation facility
Residential Treatment Facilities; Substance Use Rehabilitation Facility

Definition:

(X12N 324500000N)

Concept Relationships:
  Specializes: RTF

2-A . . _DedicatedNonClinicalLocationRoleType
. .   v:DedicatedNonClinicalLocationRoleType		 DedicatedNonClinicalLocationRoleType

Definition:

A role of a place that further classifies a setting that is intended to house the provision of non-clinical services.

Concept Relationships:
  Specializes: _DedicatedServiceDeliveryLocationRoleType
  Generalizes (derived): DADDR MOBL PHARM

3-L . . . DADDR Delivery Address

Definition:

Location address where medical supplies were transported to for use.

Concept Relationships:
  Specializes: _DedicatedNonClinicalLocationRoleType

3-S . . . MOBL
. . .   v:MobileUnit		 Mobile Unit

Definition:

Location (mobile) where healthcare service was delivered.

Concept Relationships:
  Specializes: _DedicatedNonClinicalLocationRoleType
  Generalizes (derived): AMB

4-L . . . . AMB Ambulance

Definition:

Location (mobile) where healthcare service was delivered, identified specifically as an ambulance.

Concept Relationships:
  Specializes: MOBL

3-S . . . PHARM Pharmacy

Definition:

Location where healthcare service was delivered, identified as a pharmacy.

Concept Relationships:
  Specializes: _DedicatedNonClinicalLocationRoleType
  Generalizes (derived): INPHARM OUTPHARM

4-L . . . . INPHARM inpatient pharmacy

Definition:

Description: A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for visits longer than one day. The distinction between inpatient pharmacies and retail (or outpatient) pharmacies is that they are part of a patient's continuity of care while staying in the hospital.

Concept Relationships:
  Specializes: HU PHARM

4-L . . . . OUTPHARM outpatient pharmacy

Definition:

Description: A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for outpatient visits and may also be used for discharge prescriptions.

Concept Relationships:
  Specializes: HU PHARM

1-A . _IncidentalServiceDeliveryLocationRoleType
.   v:IncidentalServiceDeliveryLocationRoleType		 IncidentalServiceDeliveryLocationRoleType

Concept Relationships:
  Specializes: _ServiceDeliveryLocationRoleType
  Generalizes (derived): ACC COMM PTRES SCHOOL UPC WORK
  ClassifiesClassCode to: ISDLOC

2-L . . ACC accident site

Definition:

Location of an accident where healthcare service was delivered, such as a roadside.

Concept Relationships:
  Specializes: _IncidentalServiceDeliveryLocationRoleType

2-S . . COMM Community Location

Definition:

Community location where healthcare is delivered.

Concept Relationships:
  Specializes: _IncidentalServiceDeliveryLocationRoleType
  Generalizes (derived): CSC

3-L . . . CSC community service center

Definition:

Description: A location that plays the role of delivering services which may include providing front-line services to the population of a defined geographic area such as: healthcare services and social services, preventive or curative, rehabilitation or reintegration.

Concept Relationships:
  Specializes: COMM

2-L . . PTRES Patient's Residence

Definition:

location where healthcare was delivered which is the residence of the Patient.

Concept Relationships:
  Specializes: _IncidentalServiceDeliveryLocationRoleType

2-L . . SCHOOL school

Definition:

Location where healthcare service was delivered, identified as a school or educational facility.

Concept Relationships:
  Specializes: _IncidentalServiceDeliveryLocationRoleType

2-L . . UPC underage protection center

Definition:

Description: A location that plays the role of delivering services which may include: social emergency services required for a young person as required under any jurisdictional youth laws, child placement, and family mediation in the defined geographical area the SDL is responsible for. It may provide expertise in a judiciary setting on child custody, adoption and biological history research.

Concept Relationships:
  Specializes: _IncidentalServiceDeliveryLocationRoleType

2-L . . WORK work site

Definition:

Location where healthcare service was delivered, identified as a work place.

Concept Relationships:
  Specializes: _IncidentalServiceDeliveryLocationRoleType

0-A _SpecimenRoleType
 v:SpecimenRoleType		 SpecimenRoleType

Concept Relationships:
  Generalizes (derived): C G L P Q R
  ClassifiesClassCode to: SPEC

1-L . C Calibrator

Definition:

A specimen used for initial calibration settings of an instrument

Concept Relationships:
  Specializes: _SpecimenRoleType

1-L . G Group

Definition:

A set of patient samples in which the individuals of the group may or may not be identified.

Concept Relationships:
  Specializes: _SpecimenRoleType

1-L . L Pool

Definition:

Aliquots of individual specimens combined to form a single specimen representing all of the included individuals.

Concept Relationships:
  Specializes: _SpecimenRoleType

1-L . P Patient

Definition:

A specimen that has been collected from a patient.

Concept Relationships:
  Specializes: _SpecimenRoleType

1-S . Q
.   v:QualitySpecimenRoleType		 Quality Control

Definition:

A specimen specifically used to verify the sensitivity, specificity, accuracy or other perfomance parameter of a diagnostic test.

Concept Relationships:
  Specializes: _SpecimenRoleType
  Generalizes (derived): B E F O V

2-L . . B Blind

Definition:

Quality Control specimen submitted to the lab whose identity and composition is not known to the lab.

Concept Relationships:
  Specializes: Q

2-L . . E Electronic QC

Definition:

An electronically simulated QC specimen

Concept Relationships:
  Specializes: Q

2-L . . F Filler Proficiency

Definition:

Specimen used for testing proficiency of an organization performing testing (how does this differ from O?)

Concept Relationships:
  Specializes: Q

2-L . . O Operator Proficiency

Definition:

A specimen used for evaluation of operator proficiency (operator in what context?)

Concept Relationships:
  Specializes: Q

2-L . . V Verifying

Definition:

A specimen used for periodic calibration checks of instruments

Concept Relationships:
  Specializes: Q

1-L . R Replicate

Definition:

A portion of an original patent sample that is tested at the same time as the original sample

Concept Relationships:
  Specializes: _SpecimenRoleType

0-L communityLaboratory Community Laboratory
0-L homeHealth Home Health
0-L laboratory Laboratory
0-L pathologist Pathologist
0-L phlebotomist Phlebotomist
0-L subject Self
0-L thirdParty Third Party

Return to code system index

Last Published: 20120831 10:21 AM

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