Link to Subjects
This data model was HTML encoded by software prepared for the JWG-CDM. Comments on presentation links or any bugs encountered may be addressed to:
beeler@mayo.edu (George Beeler).
Organization: Health Level Seven
Version: V0.07 19961217
Developed by: Methodology & Modeling Committee
This subject area is a collection of classes representing groupings of attributes. These attribute groups are a specification of the composition of composite attributes.
ISSUE: although the structure of the attributes groups included in this model have been heavily influenced by existing composite datatypes in the HL7 2.3 standard, the relationship between attribute groups and 3.0 datatypes have yet to be finalized.
A collection of master tables related to clinical pathways.
A collection of classes related to a guarantor contract.
A collection of classes related to healthcare benefit plans.
A collection of subject areas related to the financial aspects of Healthcare.
A collection of classes related to Healthcare service providers.
A collection of subject areas related to healthcare stakeholders.
A collection of classes designated used as reference classes to master tables.
A collection of classes describing observation service types.
A collection of classes related to organizational stakeholders.
A collection of subject areas related to patients.
A collection of classes related to the patient billing account.
A collection of classes related to patient specific clinical pathways or treatment plans.
A collection of classes related to patient encounters.
A collection of subject areas related to patient encounters and patient services
A collection of classes related to the patient service events.
A collection of classes related to location of patient services.
A collection of classes related to patient service orders.
A collection of classes related to person stakeholder.
A collection of services related to pharmacy treatment service events.
A collection of classes related to service catalog items.
A collection of classes in related to stakeholders.
The draft HL7 Reference Information Model is a seed model for the domain information models used and updated by the HL7 technical committees as they identify and define the data content of the messages they create. The model was created by blending the concepts in information models submitted by HL7 member companies, technical committees, and others.
The attached file is the HL7 DRAFT RIM V0.7.
It is nearly final except for a few remaining issues noted in the model. On January 6, 1997, HL7 DRAFT RIM V0.8 will be the final posting of the draft RIM. That model will include resolution for some of these issues as well as cross references to the submitted HL7 Technical Committee data models and the HL7 V2.3 standard segments and fields.
Comments and questions regarding the draft Reference Information Model should be addressed to the RIM modeling project team leader:
Abdul-Malik Shakir Kaiser Permanente Medical Care Program One Kaiser Plaza Oakland, CA 94612
74353.1431@Compuserve.com.
The RIM modeling team is especially interested in receiving comments on inconsistencies which are perceived between the RIM and submitted models, technical committee models, and version 2.3 of the HL7 standard. Additionally any comments concerning the correctness, consistency, clarity and usefulness of the various model expressions would also be appreciated.
Comments must be received by December 30th to be included in the final posting on January 6, 1997.
An authoritative direction or instruction concerning the admission, discharge, or transfer of a patient.
A code depicting the level of care required for the patient.
The desired date and time for the next encounter.
An identifier assigned to the discharge location.
An authoritative instruction or direction of a patient regarding their healthcare or the disposition of their remains.
An indication as to wheather the patient was mentally competent when completing the advance directive.
A code depicting the nature of the advance directive.
The level of disclosure allowed for this advance directive.
A free for text discribing quality of life preference of the patient to be used in making intervention decisions.
The name of the patient's prefered mortuary.
The date the advance directive was notarized.
A person that is witness to a patient's advance directive.
An attribute group containing a collection of attributes related to an address.
The contents of the address attribute groups were influenced by the specification of the AD and XAD datatypes in the HL7 2.3 standard.
A string of text which aids in the proper routing and handling of mail.
A code depicting the type of address [current, temporary, permanent, mailing, firm/business, office, home, birth (nee), country of origin).
A identifier assigned to the census track the address is part of.
The name of the city.
The name of a country.
A code depicting the county/parish within a state/province.
Text of geographic designations in addition to state/province, country, census tract, and county. Includes bioregion and SMSA.
A code assign by a postal authority to aid in the routing and proper delivery of mail world wide.
The name (or abbreviated name) of a state of the United states or a province name.
The name of the street within the city or district. {1st street, Main street, 5th ave., ...}
An attribute group representing a numeric amount. See the HL7 CQ and MO datatypes.
A numerical representation of an amount.
A code depicting the unit of measure for an amount. {dollars, years, days, liters, grams, ...}
An attribute group for coded attributes. The contents of this attribute group is strongly influenced by the contents of the CE, ID, IS, and CF datatypes within the HL7 2.3 standard.
The code assigned to the coded concept. The combination of coding system name and assigned code text uniquely identifies the item being represented
The name of the coded concept.
The name of the coding system used.
A calendar date. The attributes in this attibute groups were strongly influenced by the DT and TS datatypes in the HL7 2.3 standards.
A calendar day within a month.
A month within a calendar year.
A calendar year.
An attribute group representing date and time. The contents of the datetime attribute group is strongly influenced by the contents of the DT, TM, and TS datatypes in the HL7 2.3 standard.
A calendar date.
A time of day.
An attribute group for assigned identifiers. The contents of this attribute group is strongly influenced by the specification of the EI, CX, DLN datatype in the HL7 2.3 standard.
The effective date of the identifier.
The value assigned as an identifier, often a numeric.
A check digit assigned to the identifier base upon the identification text and the check digit scheme.
A code identifying the check digit scheme used for the identifier check digit.
Date the identifier was issued.
The name of the issuing authority for the identifier.
The termination date of the identifier.
A code indicating the type of identifier.
An attribute group for person name. Based upon the HL7 PN and XPN datatypes.
A person's surname or family name.
A person's given name.
An addtional name between the first and last names of a person.
An additional test string added to a name. Often use to denote a degree title {MD, Phd, LVN, ...} or a generation qualifier {Jr., Sr., III, ...}.
A text string preceding a person's first name usually portraying a position held by the person or a indication of the person's age/marital status. {Mr., Mrs, Miss, Sir, Reverend, General, master, ...}
An attribute group for phone numbers. Based upon the HL7 TN and XTN datatypes.
Code for a specific calling area including country and calling area within a country.
Extension to the phone number for access to beeper.
Comments about the telephone number.
A code identifying the country the phone number is within.
Code for a data or voice device used to transmit information, carry a verbal conversation or exchange information between individuals (phone, fax, modem, cellular phone, beeper).
The date the phone becomes effective.
Number that identifies a continuation or addition to the telephone number.
Number used to communicate by telephone with a person or organization.
The date the phone is nolonger in effect.
A code indicating the use type of the phone (primary residence, other residence, work, vacation home, answering service, emergency, beeper).
The time of day. See HL7 TM datatype.
A portion of a second.
A quantity representing the offset of the time zone from the coordinated universal time (GMT).
A hour of the day.
The minute within an hour.
The second within the minute.
A planned patient encounter set for a specific time and place.
A code depicting the disposition of the appointment {pending, cancelled, rescheduled, ...}
A code depicting the reason the appointment is being requested.
The date and time the appointment was cancelled.
A code depicting why the appointment was cancelled.
The amount of time the scheduled encounter is expected to last.
The expected end date and time of the patient ecounter
Text providing the service(s) expected to be provided in the sheduled encounter.
The expected date and time for the start of a patient encounter.
A uniques identifier assigned to an appointment.
An indication as to whether the appointment is an overbook.
The data and time the scheduling of the appointment began.
The date and time the scheduling of the appointment was completed.
A code depicting the status of scheduling the appointment.
A code depicting the urgency to be seen by a healthcare provider.
A code used to classify a visit.
The priority assigned to an appointment request placed on a wait list.
A billing account that has been turned over for bad debt collection.
The amount recovered on a bad debt patient account.
The amount of the patient billing account that was turned over to bad debt for collection.
The date the patient billing account was transferred to bad debt status.
A code depicting the reason the patient billing account was transferred to bad debts.
A role assumed by an organization stakeholder. This role is assigned one or more bad debt billing account.
Billing account information particular to the national uniform billing form.
A code depicting a condition.
A code depicting a event.
The date of the event depicted in occurrence code.
A code depicting an event which occurs over a span of time.
The from date of the event depicted in occurrence span code.
The end date of the event depicted in occurrence span code.
A quantitative value on a bill. The value is qualified by quantity type code.
A code qualifying the quantity amount information on a bill.
{Blood furnished, blood not replaced, blood replaced, coinsurance day, covered day, non-covered day, grace day, special visit}
A value amount qualified by value code.
A code qualifiying the billing information value amount.
The utilization of blood by a patient.
The type of blood component.
The blood usage type.
The amount of cross matched blood units.
A unique identifier of the blood usage.
The number of units of blood used in a transfusion.
A test/observation service for which calculated results are generated.
A specification of the derivation rules for determining patient variables that are derived from one or more other patient variables.
A test/observation service for which categorical values results are generated.
A list of the text answers that are abnormal for the test.
The allowed data type for a single categorical observation.
A list of coded results that are critically abnormal for this observation.
Normal text/codes for categorical observation.
Preferred coding system for observations whose categorical responses are taken from a specified table of codes.
An aternate medical opinion rendered for an insurance certification.
The date that the second opinion was obtained.
A code that depicts the status of the second opinion.
A type of insurance coverage provided to military veterans and federal workers.
A code depicting the handicapped program in which the patient is enrolled.
A indication as to whether the champus non-avail certification is on file.
Champus station.
The information or record secured by an act or instance of viewing or noting a fact or occurrence for some health related purpose.
An abbreviation name for the observation.
An indication that the observation results are abnormal.
Text used to control the access to observation data.
The name of the observation coding method.
The degee of certainty in the clinical observation expressed as a percentage.
The clinical observation interpretation.
The date of the last normal observation for the associated patient.
The begin date and time the observation is made.
A description of the observation.
The end date and time of an observation.
A code indicating the method employed in conducting the observation.
The status of the clinical result of the observation.
The effective date and time of the clinical result.
A sub-group identifier for the observation used to group related observations.
Observation value.
A qualifier of the observation value.
The lower limit amount in normal result range.
The upper limit amount in a normal result range.
An association between a Healthcare service provider and a clinical observation.
An identifier of the clinical observation from the prespective of the associated healthcare participant.
The type of participation the provider assumes in relation to the observation. {producer, ...}
A report of the information or record secured by an act or instance of viewing or noting a fact or occurrence for some health related purpose.
ISSUE: consideration should be given to combining this concept with other reporting identified in the Information Management chapter.
The reason the clinical observation result was cancelled.
A unique identifier assigned to the observation result.
The date and time the clinical observation results are issued.
An indicator that an acknowledgement reciept is request for the clinical observation report.
The reporting priority of the clinical result.
Free form text of the observation result.
The status of the clinical observation result.
The effective date and time of the result status.
A sample of a substance or material for examination or study (a urine specimen; a tissue specimen).
The anatomical source for the collected item.
The date and time the anaylzed object collection ended.
The date and time the anaylzed object is scheduled to be collected.
The date and time the analyzed object collection started.
The amount of specimen collected.
A description of the condition of the collected specimen.
A code indicating the action taken after collection of the sample. {air-dried, refrigerated overnight, maintained at body heat, centrifuged immediately, maintained on ice, ...}
Unique identifier of the analyzed object.
A description of the method used to collect the anaylzed object.
A code depicting an additive used with the anaylzed object to aid in the analysis.
A code depicting dangers associated with the anaylzed object.
A code indicating the source of the anaylzed object.
A code identifying the type of sample collected. {urine, blood, sputum, swab, synovial fluid, ...}
A code indicating the reason the contact should be used. (e.g., contact my employer if patient is unable to work)
A test/observation service for which continuous value results are generated.
A specification of the range of possible results for ordinal and continuous observation.
A specification of the range of values within the absolute range amount which are critical.
A specification of the total length and the number of decimal positions for numerically valued single observations.
Delta check criteria applies to numeric tests/observation with a nature code of A or C. This attribute describes the information that controls delta check warnings.
The smallest meaningful difference between reported values (the effective resolution of the measuring instrument or technique for continuous data, or the smallest discrete interval that can occur for discrete data).
A specification of the normal range of results.
A factor for converting customary units to SI units. Can be specified as an equation or a multiplier.
A broad categorization, based upon included procedures and diagnoses, that applies to a Healthcare event as a whole. Used for grouping and evaluating Healthcare encounters with respect to duration of care and cost.
<see FIN2301:DRG_Master_File>
<see FIN2301:DRG_Master_File>
<see FIN2301:DRG_Master_File>
<see FIN2301:DRG_Master_File>
A unique identifier assigned to the diagnostic related group.
<see FIN2301:DRG_Master_File>
<see FIN2301:DRG_Master_File>
<see FIN2301:DRG_Master_File>
<see FIN2301:DRG_Master_File;Standard_Day_Stay>
<see FIN2301:DRG_Master_File>
<see FIN2301:DRG_Master_File>
<see FIN2301:DRG_Master_File>
An authoritative direction or instruction concerning the system or course of diet for a patient.
An identifier of the dietary plan.
A code identifying a special diet type for a patient.
Instructive description of the dietary order.
A code for the type of dietary tray.
A code identifying the service period for a diet order.
An employed person.
A person or organization which employes persons.
The date the organization assumes the role of employer.
The date the organization's role as employer is terminated.
A broad categorization, based upon included procedures and diagnoses, that applies to the Healthcare event as a whole. Used for grouping and evaluating Healthcare encounters with respect to duration of care and cost.
An indication that the DRG assignment has been approved by a reviewing entity.
The date and time the DRG was assigned to the encounter.
An indication as to whether the DRG assigned to this encounter contains a confidential diagnosis..
The amount of the encounter cost that is beyond the standard cost amount for the assigned DRG.
A description providing additional information about the assignment of the DRG to the encounter.
A code indicating that the grouper results have been reviewed and approved.
The version and type of the grouper used to derive the DRG.
The number of days beyond the standard day count for the assigned DRG.
The portion of the total reimbursement amount designated for reimbursement of outlier days or costs.
A code depicting the type of outlier {day, cost} associated with the encounter DRG.
An association between a healthcare practitioner and a patient encounter.
A code depicting the role of the type of participation the healthcare partitioner assumes in the
encounter.
An occurrence of an event pertaining or attaching to a patient encounter.
A code depicting the incident type {body fluid exposure, equipment problem, inpatient fall, medication error, ...}
The date and time the incident occured.
A code depicting the potential impact of an incidenton the quality of patient care.
A code depictinga classification of the incident type {preventable, user error, ...}
A collection of a series of Healthcare encounters for a patient.
Episode of care descriptive text.
A code indicating the type of episode. The type code is dependent upon the reason for collection of patient encounters.
A unique identifier assigned to the episode of care.
An indication that the list of encounters associated with the episode is a closed list.
Text describing the outcome of the episode of care.
An indication that the episode represents a recurring patient service.
A charge, credit, or adjustment to a charges in a patient account.
An alternate description of the transaction.
A code depicted the location type used for billing.
Explanatory text concerning a financial transaction.
The transaction amount derived from multiplying the unit amount by the number of units.
A code depicting the fee schedule used for this financial transaction.
The amount of the financial transaction that is applicable to the associated Healthcare benefit plan.
The posting date of the financial transaction.
transaction quantity.
A unique identifier assigned to the batch in which this transaction belongs.
A code depicting the financial action covered in the transaction.
The date of the transaction.
A indentifier assigned to the transaction for control purposes.
A code depicting the transaction type. {credit, charge, payment, adjustment}
The amount associated with one transaction unit.
The unit price of transaction. The cost of a single item.
A master table of goals for a clinical pathway.
A classification code for the goal master.
A description of the goal master.
A unique identifier for the goal master.
A code indicating the interval used to calculate the next goal review date.
A code depicting the goal caregiver discipline responsible for managing the specific goal.
The person or organization assuming financial responsibility for some or all of the charges in a patient account.
The combined annual income of all members of the quarantor's household.
The number of people living at the guarantor's primary residence.
A contract held by a stakeholder which specifies the financial responsibility of the stakeholder for a patient billing account.
A indicator used to determine whether or not a system should suppress printing of the guarantor's bills.
A code depicting the allowable mediums for billing under this guarantor contract.
A code depicting which adjustments should be made to this guarantor's charges.
A code specifying the duration of the contract.
Code identifying the type of contract entered into by the guarantor for the purpose of settling outstanding account balances.
The date the guarantor contract becomes effective..
The rate of interest for this guarantor contract.
Amount to be paid by the guarantor each period.
A code indicating the relative priority of this guarantor constract for a given patient billing account.
An indication as to whether the baby in a delivery patient stay should be billed separately.
The date the guarantor contract is no longer in effect.
A person or organization which is a purchaser of a health benefit plan.
A record of health related events, facts, and related data for a particular patient.
A classification code for the health chart. {inpatient, outpatient, mental health, ...}
An identifier designated for the health chart.
The current status of the health chart.
An at risk contact between a patient and another person.
The date of the earliest at rick contact.
The date of the latest at risk contact.
The date and time the persons involved in an at risk contact are notified.
A collection of health benefits.
A code serving as an additional refinement of an insurance plan. {standard, unified, maternity}
An indication as to whether the insured agreed to assign th insurance benefits to the healtcare provider.
An indication of the existance of baby coverage under the insurance plan.
A description of the healthcare benefit.
The name of the benefit plan.
A code classifying the benefit plan type. {commercial, Medicare, Medicaid, ...}
An identifier for the healthcare coverage benefit plan.
The deductible amount for blood.
The priority sequence for an insurance plan that works in conjunction with other insurance.
An indication as to whether charges for a baby should be combined with charges for the mother.
An indication as to whether this insurance works in conjunction with other insurance plans, or if it provides independent coverage and payment of benefits regardless of other insurance that might be available to the patient.
An indication as to whether the patient has reached the copay limit.
A code identifying the type of insurance coverage, or what type of services are covered for the purposes of a billing system.
The amount of the daily deductible for this insurance plan.
The date the healthcare coverage first becomes effective.
A code depicting the source of information about the insured's eligibility for benefits. {insurance company, employer, insured presented policy, insured presented card, signed statement on file, verbal information, none}
The last date of service that the insurance will cover or be responsible for.
A indication as to whether the healthcare coverage is a group contract.
A code indicating the party to which th claim should be mailed. {employer, guarantor, insurance company, patient, other}.
A code depicting the reason why a service is not covered.
An identfier of an healthcare benefit plan.
The deductible amount specified by the insurance plan.
The identifier for the healthcare coverage policy.
The maximum number of days that the insurance policy will cover.
A code depicting the extent of the coverage for a participating member. {single, family, etc.}
A code indicating how the policy informaion was obtained.
A code describing what information, if any, a provider can release about a patient.
A indication of whether the insurance carrier send a report of eligibility identifying the benefits the patient is eligible for.
A rate for a given room type.
A code depicting the status of the healthcare coverage.
The date the healthcare coverage is no longer in effect.
A level of coverage for a selected class of Healthcare services.
Description of the access protocol for the benefit service type.
An indication that the benefit service is a capitated service.
An indication that coinsurance is applicable for the benefit service.
The coinsurance percentage for the benefit service.
The copayment amount for the benefit service.
The benefit service deductible amount.
The lower coverage limit.
The payment limit on the benefit service.
An indicator that the benefit service provided by a non primary provider must have a referral from a primary care provider to be covered.
An indicator that the benefit service must be provided by a primary care provider to be covered.
A indication that the benefit service will be subject to review prior to payment.
The upper limit of the benefit coverage.
A defined level of healthcare insurance coverage.
The annual limit amount for the Healthcare coverage benefit.
A textual description of the benefit.
The name of the benefit product.
An indication as to wheather the benefit includes dependent coverage.
The limit on the dependent coverage amount.
The date and time the benefit becomes effective.
The lifetime limit amount for the Healthcare coverage benefit.
The date the benefit is nolonger in effect.
An organization or person responsible for the provision of healthcare services to an individual, or involved in the provision of healthcare related services.
The type of board certification held by the healthcare provider.
An indication that the healthcare provider is board certified.
The date of certification.
The date the stakeholder assumes the role of healthcare service provider.
The unique identifier assigned to the healthcare service providers license.
The date recertification is required.
A code depicting the particular subject area or branch of medical science, as practiced by a Healthcare practitioner.
The date the stakeholder is nolonger in the role of healthcare service provider.
A role assumed by an organization stakeholder. This role issues identifiers.
The date the organization assumes the role of issuing authority for identifiers.
The date the organization is no longer in the role of issuing authority for identifiers.
A person in the role of a healthcare provider.
The name of the educational degree held by the Healthcare practitioner.
Free form text description of the healthcare practitioner.
The fellowship field of a physician.
The name of the graduate school attended by the healthcare pratitioner.
The date of graduation from graduated school.
A code indicating the position of a healthcare practioner in an healthcare organization. {head of department, trainee, hospital consultant}
A code indicating the type of healthcare professional. {medical doctor, nurse, pharmacist, laboratory worker,...}
An indication that the healthcare practitioner is a primary care provider.
A code describing the set of privileges ascribed to the healthcare practitioner.
The physician residency code.
A patient encounter involving an admission to an inpatient facility.
The number of actual days of an inpatient stay. The actual days quantity can not be calculated from the adminission and discharge dates because of possible leaves of absence. ADT2300:AdmittedPatientVisit.ActualLengthOfInpatientStay
The estimated number of days in an inpatient encounter.
An affirmation by an insurance company that it will pay for specified service.
A code depicting the reason an appeal was made on a non-concur for certification.
The date that this certification becomes effective.
A unique identifier for the certification assigned by the certification agency.
The data and time the insurance coverage was verified.
The date/time that the certification was modified.
A code depicting the denied request.
The date of the non-concurrence classification.
The dollar amount of the penalty that will be assessed if the precertification is not performed.
The date the certification ends.
A person or organization which acts as a contact for insurance certifications.
A code depicting the type of certification contact. {certification agency, certification operator, approving party, physician reviewer}
A role assumed by a organization stakeholder underwriting a Healthcare benefit plan.
The date the organization assumes the role of insurer.
The date the organization is no longer in the role of insurer.
An association between a patient encounter and a location.
A code depicting the type of accomodation associated with this patient encounter.
Date the association between the patient encounter and the facility location becomes effective.
A code depicting the relationship of the facility location to the patient encounter.
The status of location encounter role.
Date the association between the facility location and the patient encounter ends.
The reason code for a patient transfer.
Descriptive text providing the reason for a transfer associated with the patient encounter.
A indication that use of the location has been approved.
A type of healthcare coverage provided by a state medicaid program.
A code depicting the category of aid which make this person eligible for medicaid. {aged, blind, disabled, families with dependent children}
An identifier assigned to a medicaid family for administation as a case.
The date medicaid coverage becomes effective.
The date medicaid coverage terminates.
A type of Healthcare coverage provided by the federal Medicare program.
The date the person's medicare coverage becomes effective.
A code depicting the person's medicare eligibility type {age, disability, ESRD, ... }
A person's medicare coverage identifier (HICN).
The number of lifetime reserve days remaining.
A delay prior to lifetime reserve days.
A code indicating the type of medicare coverage. {hospital, professional}
A code depicting the medicare reimbursement type. {GPPP Cost, GPPP Risk, PPS, ...}
A code indicating the renal status of the person's medicare coverage.
The date the person's medicare coverage is no longer in effect.
A role of a person that authenticates the signature of a party.
The date upon which the person assumed the role of notary public.
The county in which the notary is licensed.
The state in which the notary is licensed.
Date on which the person is no longer in the role of notary public.
An authoritative direction or instruction concerning an observation service for a patient.
A code indicating the processing priority of the patient service order.
Text or code decribing the reason for the observation order.
A code indicating the reporting priority of the patient service order.
A code identifying the action to be taken with respect to the specimen.
A description of suspected findings.
A type of sevice catalog item specific to observation services.
The unique identifier assigned to the type of instrument required for the observation service type.
A code depicting the permitted format of the observation value.
The processing time requirement of the observation service type.
An indication that a specimen is required for this observation service type.
The turn around time required for this observation service type.
A specification of specimen requirements for test/obsevation service catalog items which require a specimen.
A code for the additive required for the collected specimen used in the associated observation service type.
A description of the contrainer requirements for a specimen collected for the observation service type. The description includes specification of the physical appearance, including color of tube tops, shape, and material composition (e.g., red top glass tube).
A specification of the containers volume capacity.
A code identifying derived specimens relative to the observation service type. For some diagnostic studies the initial specimen is processed to produce results. The process also produces new "specimens" and these are studied by a second order process.
The amount of specimen needed by the most specimen sparing method.
A specification of the normal specimen volume required. This is the amount used by the normal methods and provides enough specimens to repeat the procedure at least once.
The special processing that should be applied to the container (e.g., add acidifying tablets before sending).
Special handling requirements for the collected specimen.
A code identifying the specimen required by the observation service type.
The allowed priorities for obtaining the specimen.
The usual time that a specimen for this observation service type is retained after the observation is completed.
An association between a Healthcare practitioner and an Order.
An identifier of the order as know to the healthcare provider.
A code indicating the type of participation the healthcare participant's assumes in connection to the order. {Placer, Filler, Recipent of results}
A type of stakeholder. A group of persons organized for some end or work; association. The administrative personnel or apparatus of a business.
The name of an organization.
The standard industry class code of the organization.
A reference table of pathway specification that are not specific to a particular patient.
A description of the clinical pathway master.
A unique identifier for a clinical pathway.
A person who may receive, is receiving, or has received Healthcare services.
Condition of a patient, such as pregnant, hearing impaired, etc.
For newborn patients in a multiple birth the order this patient was born in.
A classifying code for patients.
A code depicting the living arrangements of a person. Examples might include Alone, Family, Relatives, Institution, etc.
A code depicting the nature of a dependency that may exist between one stakeholder and another.
A indication as to wheather the patient is part of a multiple birth.
A indication that the patient is a newborn baby.
An indication that the patient is an organ donor.
The perferred pharmacy of the patient.
The triage classification of the patient.
The begining of an inpatient encounter.
The date and time of the patient was admitted into an inpatient facility.
A code depicting the reason for the inpatient admission.
A code depicting the type of referral associated with this inpatient admission.
A code indicating the source category associated with this inpatient encounter.
A code indicating the circumstance under which the patient was or will be admitted.
Text descibing the patient valuables left for safe keeping.
An indication that pre-admission tests are required for this inpatient encounter.
An indication that the inpatient encounter is a readmission.
Decriptive text identifying where valuables of patient is located.
A patient condition or health profile item of special concern about a patient.
The date the patient alert becomes effective.
An identifier of the patient alert.
An identifier of the rules associated with the patient alert.
The level of serverity in the patient alert.
An abnormal reation of a patient to an allergen.
An identifier of the allergen which causes the allergic reaction.
A code specifying an allergic reaction.
The arrival of a patient at the location of care for a patient encounter.
A code depicting the accuteness of the patients medical condition upon arrival.
The date and time of the patient arrival at the care location.
A code classifying the types of patient arrivals.
A unique identifier assigned to the medical service anticipated in the patient encounter.
A code depicting the source of arrival.
A code depicting the mode of transportation used to transport the patient to the care location.
A financial account established for a patient to track the billable amount for services received by the patient and payment made for those services.
The unique identifier of a patient account.
A code depicting the type of adjustment applied to the patient billing account.
The authorization number or code recieved from the insurance company.
A code indicating the status of billing.
A indicator as to whether a certification is required.
The current unpaid balance of a patient account.
The date the patient billing account was deleted.
A code depicting the reason a patient billing account has been deleted.
A count of the number of insurance plans expected to provide insurance coverage for this patient account.
A code indicating the expected payment source.
The date a notice ofn admission was sent.
A indicator documenting wheather the insurance company requires a written notice of admission.
A code depicting a category for the source of payment.
A reference to the unique identifier of the price schedule to be used for charges in the patient billing account.
A code depicting the purge status of the patient billing account.
The date the patient billing account was purged.
The date a report of eligiblity was recieved.
A indicator to control the purge of the patient billing account and related data.
The date authorization to bill was obtained.
A code indicating a special program governing the billing account.
A indicator identifying wheather the patient has reached the stoploss limit established in the contract master.
An indicator as to whether charges should be suspended fo a patien,
The total amount of the adjustment made to the patient billing account.
The total charge amount of the patient billing account.
The total of the payments made on a patient billing account.
Information about a patient, relevant to the health or treatment of that patient, that is recorded by or on behalf of a Healthcare practitioner.
ISSUE: the specializations of patient clinical items may be duplicates of information found elsewhere in the model. Of particular concern is the apparent overlap between diagnosis, patient condition, patient problem, and patient pathway problem.
The date and time the clinical state item was identified.
A textual description of the clinical state item.
Free form comentary text concerning a patient clinical item.
Free form text associated with the clinical item.
The date the clinical item becomes effective.
A unique identifier for the clinical state item.
The date the clinical item is no longer in effect.
The type of clinical item. {advance directive, patient alert, diagnosis, reported medication, reported patient accident}
A stakeholder that is the source of information concerning a patient clinical item.
A condition of a patient that has medical significants.
A code indicating the general allergy category (drug, food, pollen, etc.)
An identification code for the patient condition.
Free form textual description of a patient medical condition.
An indication that the patient condition is employment related.
The date the patient condition was reported to risk management.
A code indicating the general severity of the patient condition (severe, moderate, mild, etc.)
Free form text describing the treatment plan for the patient condition.
The act of dying; the end of life; the total and permanent cessation of all the vital functions of a patient.
The identfier assigned to the death certificate.
The date that the death certificate is recorded.
A major classification of the cause of death.
The date and time of death.
The name of the location where the death occurred.
The name of the source providing the death notification.
A code identifying the source type used for verification.
The date the death information is verified.
Name of the person providing verification of death.
The end of a inpatient encounter.
The date and time that the patient is discharged from an inpatient facility.
A code depicting the disposition of the patient following discharge.
A code depicting the expected disposition of the patient upon discharge.
The decision reached from the process of determining by examination the nature and circumstances of a diseased condition.
The date and time the diagnosis physician attests to the validity of the diagnosis.
A primary classification of diagnosis.
An indication that the diagnosis is confidential.
Free form description of the diagnosis.
Date and time the diagnosis was determined.
A uniqued identifier designating the diagnosis.
The date the decease indicated in the diagnosis became present in the patient.
The diagnositic phase code.
The diagnosis identification code.
The relative priority of the diagnosis.
The data and time the diagnosis was ruled out.
The reason the diagnosis was ruled out.
A code depicting the severity of the diagnosis.
A classification type of diagnosis (admitting, working, discharge, ...).
An interaction between a patient and a Healthcare participant for the purpose of providing patient services or assessing the health status of a patient.
Type of further action, if any, planned as part of the care of the patient. {appointment given, appointment to be given, admission arranged, patient admitted}
A code depicting the reason for cancellation of an encounter.
A percentage of patient encounter allocated to counseling.
A textual description of the patient encounter.
A classification of a patient enounter.
The date and time that the patient encounter ends.
A count of the number of insurance plans that may provide coverage for this patient encounter.
The date the patient first experienced a similar illness. Used to determine pre-existing conditions
A code indicating the type of follow-up required after completion of the patient encounter.
A unique identifier assigned to the patient encouter.
A classification of the patient.
A code depicting the relative priority of the patient encounter.
A code depicting the purpose of the patient encounter.
The data and time the documentation of the patient encounter is signed.
An indication as to whether or not the patient is to be extended special courtesies.
The date and time that the patient encouter begins.
A code depicting the status of the patient encounter.
A code depicting the type of transportation required or arranged for the transport of the patient. {stretcher, wheelchair, ambulance, taxi}
A code depicting the urgency of the patient encounter.
A release of patient information to a third party.
The data and time of the disclosure.
Free form textual description of the information disclosed.
Free form text description of the requested information.
A code indicating why information about the patient was disclosed.
Date the disclosed patient information was requested.
A code indicating the priority of the request by a requester.
A role played by the stakeholder. This role is the recipient of patient information.
A Clinical pathway, or treatment plan, established for a particular patient.
The date the patient pathway was established.
A unique identifier assigned to the patient pathway.
A code depicting the class life cycle states (active, suspended, complete, canceled, delayed, scheduled)
A pathway goal specific to a particular patient.
A code used to catagorize patient pathway goals.
The date/time the patient goal is initially created.
A code depicting the progress towards achievement of the goal (achieved, ahead of schedule, delayed, failed to achieve, ...)
Comment text associated with the goal evaluation.
A unique identifier assigned to the patient pathway goal.
The effective date/time of the most recently assigned goal life cycle.
A code indicating the state of the goal (active, canceled, inactive, suspended, ...)
A code indicating the caregiver disciplines responsible for managing a patient pathway goal.
The date/time of the next scheduled goal review.
The second most recent date/time the goal was reviewed.
The date/time of the most recent review of the patient pathway goal.
A code indication the review interval for the patient pathway goal.
A code depicting the review status of the patient pathway goal.
A code used to identify the individual or group for whom the goal has been established for the benefit of a particular patient (family group, family member, patient, ...)
A person who is the target of a pathway goal.
A problem addressed by a patient pathway.
The date the patient problem is resolved.
A code used to categorize the patient problem.
A code depicting the level of verification for the patient problem (confirmed, defferential, provisional, rule-out, ...)
The estimated date and time of the patient problem resolution.
A unique identifier assigned to the patient problem.
A code depicting the current status of the problem (active, active-improving, active-stable, active-worsening, inactive, resolved, ...)
A code depicting the caregiver discipline responsible for managing the patient problem.
The date/time the patient problem began.
A textual description of when the problem began.
An indication of the patient's family or significant other's comprehension of the actual problem/prognosis.
A textual description of the perserverance of a master problem.
A quantitative numerical representation of the certainty that the problem exist for the patient.
A indication of the patient's comprehension of the problem.
A qualitative representation of the certainty of the problem (high, medium, low)
A indication of the patient's awareness of the prognosis for the problem.
A textual description of the prognosis for a patient problem.
Prioritization of the problem (numeric ranking or the use of words such as primary, secondary, ...)
A code depicting the level of security or sensitivity surrounding the problem.
The effective data and time of the current problem status.
The patient condition or chief complaint of the patient in a patient encounter.
A indication that the patient problem is an active problem.
A unique identifier of the patient's problem.
The name of the patient problem.
A prefix modifying the problem identified by the patient problem identifier.
A code depicting the serverity of the patient's problem.
A prefix modifying the problem identified by the patient problem identifier.
An introduction of a patient from one caregiver to another caregiver or provider institution. The referral may authorize the patient to receive Healthcare services. A referral may authorize a specified quantity of a particular kind or level of service. A referral may also simply be a recommendation or introduction.
The number of authorized referral visits.
Free from text describing the referral.
Free form text providing the reason for the referral.
The rendering of a Healthcare service to a patient.
ISSUE: Should there be an Observation Service Event specialization Patient Service Event?
The date the service provider attests that the patient service was delivered as documented.
The date attestation is due for this patient service.
Date the patient service begins.
indicates whether patient considers this procedure to be confidential.
An indication that the patient service was declined.
Text that describes the service performed along with relevant details of the service.
The end date and time for the patient service.
The patient service unique identifier
A code depicting the type of consent that was obtained for permission to treat the patient.
A code indicating a recurring service and the nature of the recursion.
The date the patient service is scheduled to begin.
A description of the service event.
A place of settlement, activity, or residence.
Address of the location.
Closing date of the location.
A unique identifier of a patient care location.
The number of licensed beds at the location.
name of the location.
Opening date of the location.
The specialty code of the service.
A code indicating the status of the location.
Phone at the location.
A code indicating the type of patient care location. {hospital, clinic, hospital ward, room, bed,...}
An authoritative direction or instruction concerning Healthcare services for a patient.
A phone number to call back results from the service order.
Free form instructional text containing caregiver instructions.
A code determining the timing of billing the charges associated with the order service item.
A code identifying someone or something other than the patient to be billed for this service.
Free form text describing the patient service order.
The duration of the service order.
A code depicting the duration the service item is to be provided.
A code depicting a condition that when satisfied should end the series of sevice orders.
The date and time the provision of the service item is ordered to end.
A code depicting the number of times a service order is to be repeated within a specified time interval.
The producer's usual or preferred identification of the test or observation.
A composit identifier of a service order. Including the order id and the ordering application.
A unique identifier for the patient service order.
The date the order was placed.
A code used to determine the sequencing of an order service item.
A code indicating the relative priority of the service order.
The amount of the service item being ordered.
A code indicating the quantity of the ordered item.
A code indicating if and how the service item is to be repeated.
The date and time the service order is requested to begin.
The date and time the service order is requested to end.
A code used to allow the placer applicatio to determine the amount of information to be returned from the filler.
A unique identifier for the service to be provided by the order service item.
Free form text decribing special handling for the patient or specimen while carrying out the service order.
The start date and time for the provision of the service item.
A code indicating the status of the patient service order.
A code indicating the time interval for the ordered service item.
A code indicating how (or whether) to tranport a patient.
A type of stakeholder. An individual human being.
The date and time of a person't birth.
The place the person was born.
The current citizenship of a person.
A code depicting the nature of publicity protections in place for this person.
The date and time that a person's death occured.
A indication that the person is dead.
A code identifying a person disability.
The amount of education a peson earned.
The ethnic group of the person.
A code depicting the gender (sex) of a person.
A code identifying a language.
A code depicting the marital status of a person.
A person's military branch of service.
The name of a person's military rank.
The military status of a person.
A code depicting the nationality of a person.
The primary name of a person.
A code depicting the race of a person.
A person's religous preferance.
An indicator that the person is a student.
And indication that the person is an VIP.
A additional name by which a person is or has been known.
The effective date of the person's alternate name.
Other names by which a person is known.
A code indicating the reason the alternate person name is used.
The termination date of the person's alternate name.
A code indicating the type of altenate name (nickname, alias, maiden name, legal, adopted ...)
The act or process of bearing or bringing forth offspring.
An indication that the baby in a person birth event is detained after the mother's discharge.
A unique identfier assigned to a person's birth certificate.
The name of the city the birth took place in.
A code depicting the country the person birth occurred in.
A code depicting the method of birth {cesarian, vaginal, forceps, ...}
The ordinal position the person is born in in a multiple birth birth event.
The county in which the person's birth record is recorded.
The date the birth event was recorded.
The state or province in which the birth event took place.
The delivery date of the birth event.
An indication that the person birth was a multiple birth event.
The number of days in a patient encounter in which there is a person birth event that is allocated to the newborn.
An indiction that the baby in the birth event was stillborn.
The state of being employed. An occupation by which a person earns a living; work; business.
address of the person worksite.
The date the person's employment begins.
The type of hazards a person is exposed to in their employment.
A code depicting the job classification used by the employer for the person employment job.
The title of the job held in person employment.
The telephone number of a person at the persons place of service.
Protective equipment needed for employment.
A person's salary amount.
A salary type {hourly, annual, commission, ...}
A code depicting the status of the person employment.
Date the person's employment ends.
Notice of the administration of medication as part of a pharmacy treatment.
The amount of drug administered
Free text notes from the provider administering the medication.
The device used to administer the medication.
The method used to administer the medication.
A count of the number of times the medication is administered.
The route through which the medication was administered.
The site in which the medication was administered.
A code depicting the dispensing interval for the intravenous therapy patient service.
The administered dosage form.
The drip rate of the intravenous therapy.
A unique identifier of the medication administered.
The name of the administered medication.
The rate at which this medication was administered.
A code indicating the medication was a substitution for the one ordered.
Notification of a pharmacy treatment dispense.
The daily dose amount.
The number of days supply of a medication dispensed.
Free form text notes to the person dispensing the medication .
The deliver-to address for the medication.
The amount of medication dispensed.
The date and time the medication is dispensed.
The dosage of the medication dispensed.
A code depicting the formulary status of a dispensed medication.
Medication lot number.
A count of the number of times the medication was dispensed.
Expiration date of the medication.
An identification of the medication dispensed.
The name of the medication dispensed.
An indicator that the pharmacist filling the order needs to pay special attention to provider instructions.
A unique identifier assigned to the medication dispensement.
Free form text describing the reason the medication dispensement was rejected.
Special instuctions.
A code identifying the potential of being able to substitute another pharmaceutical.
A component of a pharmacy treatment dispensement.
The amount of this component to be added to the specified amount of base.
The code used to identify the component.
A count of the number of dispensements.
Identifies if the component is base or an additive.
The route by which a pharmacy treatment medication is dispensed.
The identifier for the type of mechanical device used to aid in the administration of the drug.
A code depicting the specific method used for the administration of the drug to the patient.
A count of the dispenses of medication for this order.
A code depicting the route by which the medication was administered.
A code depicting the site in which the medication was administered.
A type of service event in which a pharmacy or treatment service is performed.
Identifier of the medical substance ordered to be given to the patient.
An identifier assigned to the pharmacy treatment service event.
The number of refills remaining.
The issuing of a pharmacy or treatment give notice.
Free form text.
Description of the medication give.
The location where the dispensement occurs.
A count of the number of administrations of the drug.
The dosage form of the medication dispensed.
The time unit used to calculate the rate at which the pharmceutical is to be administered.
The amount (number) of substance to be administered.
The maximum ordered amount.
The minimum order amount.
An indication that the pharmacist filling the order needs to pay special attention to the order notes.
A code indicating how many services to perform at one service time and how often the service times are repeated, and to fix duration of the request.
Identifies is a substitution has been made and if so in what way.
A component of the medication or treatment authorized by the person issuing the notice.
The amount of this component to be added to the specified amount of the base.
An identifying code for the drug component.
A count of the number of time the medication is given.
Identifies the component as a base or an additive.
An alternative route og administration authorized by the person issuing the notice.
The mechanical device used to aid in the administration of the drug.
The method requested for the administration of the drug to the patient.
A count of the number of gives.
Route of administration.
Site of the administration route.
An authoritative direction or instruction concerning the dispensement of medication to a patient.
The device used to administer the medication.
The method to be used to administer the medication.
The dosage to be administered.
The earliest date the medication can be dispensed.
The date the pharmacy service order expires.
Free form instructional text for the pharmacy order.
The date and time the pharmacy order was last refilled.
A indication that the pharmacy order required human review.
An indication that a pharmacy order for an out of formulary item is authorized.
The identifier assigned to the pharmacy order.
The information about how many services to perform at one service time and how often the service times are repeated, and to fix duration of the request.
The number of refills allowed.
The number of refills doses dispensed.
The number of refills remaining.
A reason code for rejection of a pharmacy order.
The route by which the medication is to be administered.
The site to which the medication is to be administered.
An indicator that a substitution medication is allowed.
Substitution status of the pharmacy order.
Total daily dosage code.
Unit of measure.
An indication that verification is required.
An item in a pharmacy treatment order.
The amount of medication to be dispensed.
The requested dispense code.
The identifier of the medical substance ordered to be given to the patient.
A code for the form of dosage for adminstration of the medication.
The number of gives per unit of time.
The rate of give for the medication.
The maximum amount of medication to be administered.
An identifier for the medication ordered.
The name of the ordered medication.
The minimum amount of medication to be administered.
An item in the formulary.
The drue enforcement agency level for the pharmacy treatment service.
The drug category code of the pharmacy treatment service.
A code depicting the form of the medication comprising the pharmacy treatment service.
The pharmaceutical class of the pharmacy treatment service.
A code depicting the administration route for the pharmacy treatment service.
A code depicting the therapeutic class of the pharmacy treatment service.
An authorization for patient services by a third party prior to the delivery of the patient service.
The number of authorized encounters.
The date the authorized period begins.
The end date of the authorized period.
A unique identifier assigned to the pre authorization.
The date and time the pre authorization is issued.
The date and time the preauthorization was created.
A decription of restrictions associated with the preauthorization.
The date and time of the last status change.
A code depicting the status of a preauthorization.
A master file of problems for which clinical pathways are developed.
A classification code for the problem master.
A description of the problem master.
A unique identifier for the problem master.
A code for a default caregiver discipline responsible for managing the problem.
The default perseverance of a master problem.
A therapeutic or diagnostic intervention employed in response to a patient condition.
A code identifying the anaesthesia used in a procedure.
A count of the anesthesia minutes involved in the procedure.
The reason for delay of the surgery patient service.
A decription of the procedure.
The findings of a surgery patient service.
The data and time of the closing incision of the surgery patient service.
The data and time of the opening incision of the surgery patient service.
A code indicating the relative priority of the procedure to all other procedures provided in this encounter.
A code used to identify a procedure.
The date/time of the procedure.
A code identifying the functional type of the procedure.
A patient service that includes the administration of radiation as a diagnostic or therapeutic aid.
ISSUE: Have all of the unique aspects of radiation therapy been captured? Can the generic patient service event suffice for what is currently captured? Are more specializations of patient service event needed?
A code indication the type of administration for the radiation patient service.
A code indicating the type of beam used for the radiation patient service.
The cns irradiation code of the radiation patient service.
Milliliters of contrast media administered to patient.
A code identifying the diagnostic type of the radiation patient service.
A code indicating the disposition of the radiation patient service.
Number of films used in procedure.
Number of minutes patient exposed to fluoroscopy.
A unique identifier assigned to the radiation patient service.
Indicates whether or not the exam performed was a mammographic procedure.
A code indicating the material need for the radiation patient service.
Indicates whether the patient has a palpable (lacatable by touch) mass.
Number of repeat films done.
A code for the result associated with the radiation patient service.
Text indicating the radiologist findings.
A code identifying the screen type used with the radiation patient service.
A code indicating the sequence requirements of the radiation patient service.
Text of technologist;s comments about the procedure.
A code used to identify the tissue irradiation method for the radiation patient service.
A code identifying the view of the radiation patient service.
Condition of an observation service which may trigger the execution of another observation service.
A description of the trigger reflex rule for the pair of service catalog item.
An undesirable or unfortunate happening that occurs unintentionally and usually results in harm, injury, damage, or loss.
Free form textual description of the accident.
A code depicting the type of accident.
An indication that the accident resulted in death.
An indication that the accident is work related.
A description of the location of the accident.
The state in which the accident occurred.
The date and time the accident occurred.
Medication the patient is taking as reported by the patient.
The dosage amount of the reported patient medication.
An identification of the reported medication.
A code providing the reason the patient is taking the reported medication.
An individual test observation, test observation battery or panel, individual medication, diet, or procedure.
Text description of the foods, diagnosis, drugs, or other conditions that may influence the interpretation of the observation including information about the direction of the effect, and any recommendation about altering the diet, conditions, or drugs before initiating the test observation.
An alternate unique identifier for the service catalog item.
An alternate name for the catalog item.
The service catalog item billing reference information.
A code depicting the level of confidentiality associated with the service catalog item.
The contact number for questions about ordering or scheduling the service
A code for a diagnosis or problem for which the service catalog item is a contraindication or of possible danger.
A description of the service catalog item.
The date the service catalog item is effective.
The service catalog fee amount.
The primary or preferred unique identifier for the service catalog item.
A code indicating the maximum service interval for the service catalog item.
A code depicting the service catalog item method.
A textual description of the service catalog item method.
An indication that the service catalog item is an orderable service.
A description of special patient preparation, diet, or medications for this service catalog item.
An indication that a portable device may be use for the test or observation service catalog item.
Free form text describing the preferred ordering method for the service catalog item.
Free form text describing the preferred scheduling method for the service catalog item.
The primary or preferred name of the service catalog item.
The identifier of a medication treatment that may be needed as part of a procedure service catalog item. Examples are radioactive iodine for a thyroid screen, and methacholine for a methacholine spirometry challenge.
A description of the credentials required for the service catalog item.
A free form description of the service requirements for the service catalog item.
A code used to categorize the service catalog item.
A code used to classify the service catalog item.
test battery
functional procedure or study
single test value
multiple test batteries
functional procedures as an orderable unit
single test value calculated from other independent observations.
An association between a healthcare service provider and a patient service event.
A code depicting the type of participation the healthcare service provider has in the patient service event.
An association between an analyzed object and a service event.
A code depicting the action taken upon the analyzed object in the context of a service event.
The data and time the specimen was recieved for use in the service event.
A person or organization that has an investment, share, or interest in healthcare.
The address of a stakeholder.
A code depicting the credit rating of a stakeholder.
The email address of stakeholder.
The phone number of a stakeholder.
A code depicting the type of stakeholder. {person, organization}
A person or organization which has an affiliation with another stakeholder.
A code indicating the familiar relationship that exist between the affiliated [person-]stakeholders (brother, sister, parent, spouse).
A association between one stakeholder and another.
A code indicating the nature of the affiliation between the associated stakeholders. (e.g., employer, emergency contact, next of kin, etc.)
Description of the stakholder affiliation.
The date the affiliation between the associated stakeholders begins.
The date the affiliation between the associated stakeholders ends.
A unique identifier assigned to a person or organization.
The effective date of the identifier.
A unique identifier assigned to a stakeholder.
A check digit assigned to the identifier base upon the identification text and the check digit scheme.
A code identifying the check digit scheme used for the identifier check digit.
A code identifying the type of identifier.
Date the identifier is issued.
The date the identification is no longer in effect.