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ParticipationType
Lvl Type, Domain name and/or Mnemonic code Concept ID Mnemonic Print Name Definition/Description
1 S: ParticipationActor () 10246

The principal actor type specifies what the actor does in the service on a coarse grained level that is essential for functional interoperability. See service_actor.funtion for an extensible fine grained informational code. Note: the actor type code specifies what people actually do, not what they are generally accredited to do.

2   A: ParticipationActorInformationGenerator 10251

Authors and originators of information

3     L:  (AUT) 10252 AUT author (originator)

A person (or organization) who originates and takes responsibility for the information given in the act, e.g., the report writer, the person writing the act definition, the guideline author, the placer of an order etc. This information should accompany every act (regardless of mood.)

3     L:  (CBC) 10255 CBC call-back contact

A contact (often not individual) to whom immediate questions for clarification should be directed (e.g., a care facility to be called by phone number.)

3     L:  (CON) 10256 CON consultant

An advisor participating in the service by performing evaluations and making recommendations.

3     L:  (ENT) 10253 ENT data entry person

A person entering the data into the originating system. The data entry person is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text.

3     L:  (INF) 10254 INF informant

A source of reported information (e.g., a next of kin who answers questions about the patient's history.) For history questions, the patient is logically an informant, yet the informant of history questions is implicitly the subject.

3     L:  (ODV) 10307 ODV originating device

A device that generated the information in the attached service object. For example, a Coulter counter on an EKG device that produced the report.

2   A: ParticipationActorInformationRecipients 10263
3     L:  (ATTN) 15987 ATTN attention

A participation indicating the entitiy to whose attention the communication is being sent.

3     L:  (REF) 10264 REF referrer

A person having referred the subject of the service to the performer (referring physician.) Typically, a referring physician will receive a report.

3     L:  (TRC) 10265 TRC tracker

A person who receives copies of exchange about this service (e.g., a primary care provider receiving copies of results as ordered by specialist.)

2   A: ParticipationActorPhysicalPerformer 10247

Performer, physically acting persons

3     L:  (ADM) 16845 ADM admitter

The practitioner who is responsible for admitting a patient to a hospital stay.

3     L:  (ASS) 10249 ASS assistant performer

A person assisting in a service through his substantial presence and involvement This includes: assistants, technicians, associates, or whatever the job titles may be.

3     L:  (ATND) 16843 ATND attender

The attending practitioner that has responsibility for a patient's care during a hospital stay.

3     L:  (DIS) 16844 DIS discharger

The practitioner who is responsible for the discharge of a patient from a hospital stay.

3     L:  (ESC) 10250 ESC escort

Only with Transportation services. A person who escorts the patient.

3     L:  (PRF) 10248 PRF performer

A person who actually and principally carries out the action. Need not be the principal responsible actor, e.g. a surgery resident operating under supervision of attending surgeon, and may be the patient in self-care, e.g. fingerstick blood sugar. The traditional order filler is a performer. This information should accompany every service event.

2   A: ParticipationActorSignatories 10257

Signatures people having accountability without being physical actors

3     L:  (AUT) 10252 AUT author (originator)

A person (or organization) who originates and takes responsibility for the information given in the act, e.g., the report writer, the person writing the act definition, the guideline author, the placer of an order etc. This information should accompany every act (regardless of mood.)

3     L:  (CNS) 10261 CNS consenter

The person giving consent to the service (usually the patient himself or a legal guardian.) A consenting person is an actor in the sense of asking or delegating an action to happen upon himself.

3     L:  (REV) 10262 REV reviewer

A person reviewing the details of a service (order or documentation) after the fact.

3     L:  (SPV) 10258 SPV supervisor (legal authenticator)

A person who is legally responsible for the service carried out by a performer as a delegate. A supervisor is not necessarily present in an action, but is accountable for the action through the power to delegate, and the duty to review actions with the performing actor after the fact (e.g. head of a biochemical laboratory.)

3     L:  (VRF) 10259 VRF verifier

A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability.

3     L:  (WIT) 10260 WIT witness

Only with service events. A person witnessing the action happening without doing anything. A witness is not necessarily aware, much less approves of anything stated in the service event. Example for a witness is students watching an operation or an advanced directive witness.

2   L:  (CST) 10266 CST custodian

A person (or organization) who is in charge of maintaining the information of this service object (e.g., who maintains the report orthe master service catalog item, etc.)

2   L:  (HLD) 16751 HLD holder

Participant who posses an instrument such as a financial contract (insurance policy) usually based on some agreement with the author.

2   L:  (RESPROV) 13975 RESPROV responsible provider

The provider (person or organization) who has primary responsibility for the act.

1 S: ParticipationTarget () 10285
2   S: ParticipationTargetDirect (DIR) 10286 DIR direct target

Target that is substantially present in the service and which is directly affected by the service action (includes consumed material, devices, etc.)

3     S: ParticipationTargetDevice (DEV) 10298 DEV device

Something used in delivering the service without being substantially affected by the service (i.e. durable or inert with respect to that particular service.) Examples are: monitoring equipment, tools, but also access/drainage lines, prostheses, pace maker, etc.

4       L:  (NRD) 10299 NRD non-reuseable device

A device that changes ownership due to the service, e.g., a pacemaker, a prosthesis, an insulin injection equipment (pen), etc. Such material may need to be restocked after he service.

4       L:  (ODV) 10307 ODV originating device

A device that generated the information in the attached service object. For example, a Coulter counter on an EKG device that produced the report.

4       L:  (RDV) 10300 RDV reusable device

A device that does not change ownership due to the service, i.e., a surgical instrument or tool or an endoscope. The distinction between reuseable and non-reuseable must be made in order to know whether material must be re-stocked.

3     S: ParticipationTargetSubject (SBJ) 10287 SBJ subject

The principle target that the service acts on. E.g. the patient in physical examination, a specimen in a lab observation. May also be a patient's family member (teaching) or a device or room (cleaning, disinfecting, housekeeping.) Note: not all direct targets are subjects, consumables, and devices used as tools for a service are not subjects. However, a device may be a subject of a maintenance service.

4       L:  (BBY) 10293 BBY baby

In an obstetric service, the baby.

4       L:  (DON) 10291 DON donor

In some organ transplantation services and rarely in transfusion services a donor will be a target participant in the service. However, in most cases transplantation is decomposed in three services: explantation, transport, and implantation. The identity of the donor (recipient) is often irrelevant for the explantation (implantation) service.

4       L:  (MTH) 10292 MTH mother

In an obstetric service, the mother.

4       L:  (NOK) 10290 NOK proxy

Someone who is the subject of the service on behalf of the patient. For example, a family member who is the subject of a teaching service in the patient's matters.

4       L:  (PATSBJ) 10308 PATSBJ patient subject

The patient as the subject of the service. E.g., in direct clinical observations, the patient is the subject.

4       L:  (PYL) 10301 PYL payload

For transportation services, the transported passenger or goods.

4       L:  (SPC) 10294 SPC specimen

The subject of non-clinical (e.g. laboratory) observation services is a specimen.

3     L:  (CSM) 10296 CSM consumable

Target that is taken up, is diminished, and disappears in the service.

3     L:  (PRD) 10295 PRD product

A material target that is brought forth (produced) in the service (e.g., specimen in a specimen collection, access or drainage in a placement service, medication package in a dispense service.) It doesn't matter whether the material produced had existence prior to the service, or whether it is created in the service (e.g., in supply services the product is taken from a stock.)

2   S: ParticipationTargetLocation (LOC) 10302 LOC location

The facility where the service is done. May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)

3     L:  (DST) 10304 DST destination

The destination for services. May be a static building (or room therein) or a movable facility (e.g., ship.)

3     L:  (ELOC) 13973 ELOC entry location

A location where data about an Act was entered.

3     L:  (ORG) 10303 ORG origin

The location of origin for services. May be a static building (or room therein) or a movable facility (e.g., ship.)

3     L:  (RCV) 13974 RCV receiver

The person (or organization) who receives the product of an Act.

3     L:  (RML) 10306 RML remote

Some services take place at multiple concurrent locations (e.g., telemedicine, telephone consultation.) The location where the principal performing actor is located is taken as the primary location (LOC) while the other location(s) are considered "remote."

3     L:  (VIA) 10305 VIA via

For services, an intermediate location that specifies a path between origin an destination.

2   S: ParticipationTargetPatient (PAT) 10289 PAT patient

The patient target indicates whose patient medical record this service item is part of. This is especially important when the subject of a service is not the patient himself. For practical purposes it is good to always have one patient target whose only meaning is that this service belongs to that patient's medical record. In addition, other targets types should be specified if the patient is also a subject or beneficiary or other target of the service.

3     L:  (BBY) 10293 BBY baby

In an obstetric service, the baby.

3     L:  (MTH) 10292 MTH mother

In an obstetric service, the mother.

3     L:  (PATSBJ) 10308 PATSBJ patient subject

The patient as the subject of the service. E.g., in direct clinical observations, the patient is the subject.

2   L:  (BEN) 10288 BEN beneficiary

Target on behalf of whom the service happens, but that is not necessarily present in the service. Can occur together with direct target to indicate that a target is both. Includes, a participant who derives benefits from an act, such as a covered party

2   L:  (COV) 14017 COV coverage target

The target participation for an individual in a health care coverage act in which the target role is either the policy holder of the coverage, or a covered party under the coverage.

2   L:  (TPA) 10297 TPA therapeutic agent

Something incorporated in the subject of a therapy service to achieve a physiologic effect (e.g., heal, relieve, provoke a condition, etc.) on the subject. In an administration service the therapeutic agent is a consumable, in a preparation or dispense service, it is a product. Thus, consumable or product must be specified in accordance with the kind of service.

1 A: x_EncounterPerformerParticipation 16764

A person participating in delivery of a service involving a clinical encounter

2   L:  (ASS) 10249 ASS assistant performer

A person assisting in a service through his substantial presence and involvement This includes: assistants, technicians, associates, or whatever the job titles may be.

2   L:  (CON) 10256 CON consultant

An advisor participating in the service by performing evaluations and making recommendations.

2   L:  (PRF) 10248 PRF performer

A person who actually and principally carries out the action. Need not be the principal responsible actor, e.g. a surgery resident operating under supervision of attending surgeon, and may be the patient in self-care, e.g. fingerstick blood sugar. The traditional order filler is a performer. This information should accompany every service event.


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