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ActReason      [2.16.840.1.113883.5.8]

Description:

A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type "has reason" linking to another Act.

Examples: Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law".

Lvl- Typ Concept Code
  Head Code-defined Value Set
Print Name Definition, Properties, Relationships
0-A _ActAccommodationReason
 v:ActAccommodationReason
ActAccommodationReason

Definition:

Identifies the reason the patient is assigned to this accommodation type

Concept Relationships:
  Generalizes (derived): ACCREQNA FLRCNV MEDNEC PAT

1-L ACCREQNA Accommodation Requested Not Available

Definition:

Accommodation requested is not available.

Concept Relationships:
  Specializes: _ActAccommodationReason

1-L FLRCNV Floor Convenience

Definition:

Accommodation is assigned for floor convenience.

Concept Relationships:
  Specializes: _ActAccommodationReason

1-L MEDNEC Medical Necessity

Definition:

Required for medical reasons(s).

Concept Relationships:
  Specializes: _ActAccommodationReason

1-L PAT Patient request

Definition:

The Patient requested the action

Concept Relationships:
  Specializes: _ActAccommodationReason _SchedulingActReason _SubstanceAdminSubstitutionNotAllowedReason

0-A _ActCoverageReason
 v:ActCoverageReason
ActCoverageReason

Definition:

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

Concept Relationships:
  Generalizes (derived): _EligibilityActReasonCode

1-A _EligibilityActReasonCode
 v:EligibilityActReasonCode
EligibilityActReasonCode

Definition:

Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.

Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.

Concept Relationships:
  Specializes: _ActCoverageReason
  Generalizes (derived): _ActIneligibilityReason _CoverageEligibilityReason

2-A . . _ActIneligibilityReason
. .   v:ActIneligibilityReason
ActIneligibilityReason

Definition:

Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy.

Examples are client deceased & adopted client has been given a new policy identifier.

Concept Relationships:
  Specializes: _EligibilityActReasonCode
  Generalizes (derived): COVSUS DECSD REGERR

3-L . . . COVSUS coverage suspended

Definition:

When a client has no contact with the health system for an extended period, coverage is suspended. Client will be reinstated to original start date upon proof of identification, residency etc.

Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect).

OpenIssue:

Concept Relationships:
  Specializes: _ActIneligibilityReason

3-L . . . DECSD deceased

Definition:

Client deceased.

Concept Relationships:
  Specializes: _ActIneligibilityReason

3-L . . . REGERR registered in error

Definition:

Client was registered in error.

Concept Relationships:
  Specializes: _ActIneligibilityReason

2-A . . _CoverageEligibilityReason
. .   v:CoverageEligibilityReason
CoverageEligibilityReason

Definition:

Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.

Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.

Concept Relationships:
  Specializes: _EligibilityActReasonCode
  Generalizes (derived): AGE CRIME DIS EMPLOY FINAN HEALTH MULTI PNC STATUTORY VEHIC WORK

3-L . . . AGE age eligibility

Definition:

A person becomes eligible for a program based on age.

Example: In the U.S., a person who is 65 years of age or older is eligible for Medicare.

Concept Relationships:
  Specializes: _CoverageEligibilityReason

3-L . . . CRIME crime victim

Definition:

A person becomes eligible for insurance or a program because of crime related health condition or injury.

Example: A person is a claimant under the U.S. Crime Victims Compensation program.

Concept Relationships:
  Specializes: _CoverageEligibilityReason

3-L . . . DIS disability

Definition:

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

Concept Relationships:
  Specializes: _CoverageEligibilityReason

3-L . . . EMPLOY employment benefit

Definition:

A person becomes eligible for insurance provided as an employment benefit based on employment status.

Concept Relationships:
  Specializes: _CoverageEligibilityReason

3-L . . . FINAN financial eligibility

Definition:

A person becomes eligible for a program based on financial criteria.

Example: A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP.

Concept Relationships:
  Specializes: _CoverageEligibilityReason

3-L . . . HEALTH health status

Definition:

A person becomes eligible for a program because of a qualifying health condition or injury.

Examples: A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program

Concept Relationships:
  Specializes: _CoverageEligibilityReason

3-L . . . MULTI multiple criteria eligibility

Definition:

A person becomes eligible for a program based on more than one criterion.

Examples: In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT). A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles.

Concept Relationships:
  Specializes: _CoverageEligibilityReason

3-L . . . PNC property and casualty condition

Definition:

A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy.

Example: A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises.

Concept Relationships:
  Specializes: _CoverageEligibilityReason

3-L . . . STATUTORY statutory eligibility

Definition:

A person becomes eligible for a program based on statutory criteria.

Examples: A person is a member of an indigenous group, a veteran of military service, or in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security.

Concept Relationships:
  Specializes: _CoverageEligibilityReason

3-L . . . VEHIC motor vehicle accident victim

Definition:

A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury.

Concept Relationships:
  Specializes: _CoverageEligibilityReason

3-L . . . WORK work related

Definition:

A person becomes eligible for insurance or a program because of a work related health condition or injury.

Example: A person is a claimant under the U.S. Black Lung Program.

Concept Relationships:
  Specializes: _CoverageEligibilityReason

0-A _ActInformationManagementReason ActInformationManagementReason

Definition:

Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy.

Concept Relationships:
  Generalizes (derived): _ActHealthInformationManagementReason _ActInformationPrivacyReason

1-A _ActHealthInformationManagementReason
 v:ActHealthInformationManagementReason
ActHealthInformationManagementReason

Definition:

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

Concept Relationships:
  Specializes: _ActInformationManagementReason
  Generalizes (derived): PurposeOfUse _ActConsentInformationAccessOverrideReason

2-S . . PurposeOfUse
. .   v:PurposeOfUse
purpose of use

Definition:

Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives.

Usage Notes: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.

Concept Relationships:
  Specializes: _ActHealthInformationManagementReason
  Generalizes (derived): HMARKT HOPERAT HPAYMT HRESCH PATRQT PUBHLTH TREAT

3-L . . . HMARKT healthcare marketing

Definition:

To perform one or more operations on information for marketing services and products related to health care.

Concept Relationships:
  Specializes: PurposeOfUse

3-S . . . HOPERAT healthcare operations

Definition:

To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care.

Concept Relationships:
  Specializes: PurposeOfUse
  Generalizes (derived): DONAT FRAUD GOV HACCRED HCOMPL HDECD HDIRECT HLEGAL HOUTCOMS HPRGRP HQUALIMP HSYSADMIN MEMADMIN PATADMIN PATSFTY PERFMSR RECORDMGT TRAIN

4-L . . . . DONAT donation

Definition:

To perform one or more operations on information used for cadaveric organ, eye or tissue donation.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . FRAUD fraud

Definition:

To perform one or more operations on information used for fraud detection and prevention processes.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . GOV government

Definition:

To perform one or more operations on information used within government processes.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . HACCRED health accreditation

Definition:

To perform one or more operations on information for conducting activities related to meeting accreditation criteria.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . HCOMPL health compliance

Definition:

To perform one or more operations on information used for conducting activities required to meet a mandate.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . HDECD decedent

Definition:

To perform one or more operations on information used for handling deceased patient matters.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . HDIRECT directory

Definition:

To perform one or more operation operations on information used to manage a patient directory.

Examples:

  • facility
  • enterprise
  • payer
  • health information exchange patient directory

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . HLEGAL legal

Definition:

To perform one or more operations on information for conducting activities required by legal proceeding.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . HOUTCOMS health outcome measure

Definition:

To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . HPRGRP health program reporting

Definition:

To perform one or more operations on information used for conducting activities to meet program accounting requirements.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . HQUALIMP health quality improvement

Definition:

To perform one or more operations on information used for conducting administrative activities to improve health care quality.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . HSYSADMIN health system administration

Definition:

To perform one or more operations on information to administer the electronic systems used for the delivery of health care.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . MEMADMIN member administration

Definition:

To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . PATADMIN patient administration

Definition:

To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . PATSFTY patient safety

Definition:

To perform one or more operations on information in processes related to ensuring the safety of health care.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . PERFMSR performance measure

Definition:

To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . RECORDMGT records management

Definition:

To perform one or more operations on information used within the health records management process.

Concept Relationships:
  Specializes: HOPERAT

4-L . . . . TRAIN training

Definition:

To perform one or more operations on information used in training and education.

Concept Relationships:
  Specializes: HOPERAT

3-S . . . HPAYMT healthcare payment

Definition:

To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.

Concept Relationships:
  Specializes: PurposeOfUse
  Generalizes (derived): CLMATTCH COVAUTH COVERAGE REMITADV

4-L . . . . CLMATTCH claim attachment

Definition:

To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services.

Concept Relationships:
  Specializes: HPAYMT

4-L . . . . COVAUTH coverage authorization

Definition:

To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services.

Concept Relationships:
  Specializes: HPAYMT

4-S . . . . COVERAGE coverage under policy or program

Definition:

To perform one or more operations on information for conducting activities related to coverage under a program or policy.

Concept Relationships:
  Specializes: HPAYMT
  Generalizes (derived): ELIGDTRM ELIGVER ENROLLM

5-L . . . . . ELIGDTRM eligibility determination

Definition:

To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment.

Concept Relationships:
  Specializes: COVERAGE

5-L . . . . . ELIGVER eligibility verification

Definition:

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

Concept Relationships:
  Specializes: COVERAGE

5-L . . . . . ENROLLM enrollment

Definition:

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

Concept Relationships:
  Specializes: COVERAGE

4-L . . . . REMITADV remittance advice

Definition:

To perform one or more operations on information about the amount remitted for a health care claim.

Concept Relationships:
  Specializes: HPAYMT

3-S . . . HRESCH healthcare research

Definition:

To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge.

Concept Relationships:
  Specializes: PurposeOfUse
  Generalizes (derived): CLINTRCH

4-L . . . . CLINTRCH clinical trial research

Definition:

To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge.

Concept Relationships:
  Specializes: HRESCH

3-S . . . PATRQT patient requested

Definition:

To perform one or more operations on information in response to a patient's request.

Concept Relationships:
  Specializes: PurposeOfUse
  Generalizes (derived): FAMRQT PWATRNY SUPNWK

4-L . . . . FAMRQT family requested

Definition:

To perform one or more operations on information in response to a request by a family member authorized by the patient.

Concept Relationships:
  Specializes: PATRQT

4-L . . . . PWATRNY power of attorney

Definition:

To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative.

Concept Relationships:
  Specializes: PATRQT

4-L . . . . SUPNWK support network

Definition:

To perform one or more operations on information in response to a request by a person authorized by the patient.

Concept Relationships:
  Specializes: PATRQT

3-S . . . PUBHLTH public health

Definition:

To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions.

Concept Relationships:
  Specializes: PurposeOfUse
  Generalizes (derived): DISASTER THREAT

4-L . . . . DISASTER disaster

Definition:

To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.

Concept Relationships:
  Specializes: PUBHLTH

4-L . . . . THREAT threat

Definition:

To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.

Concept Relationships:
  Specializes: PUBHLTH

3-S . . . TREAT treatment

Definition:

To perform one or more operations on information for provision of health care.

Concept Relationships:
  Specializes: PurposeOfUse
  Generalizes (derived): CAREMGT CLINTRL ETREAT POPHLTH

4-L . . . . CAREMGT Care Management

Definition:

To perform one or more operations on information for provision of health care coordination.

Concept Relationships:
  Specializes: TREAT

4-L . . . . CLINTRL clinical trial

Definition:

To perform health care as part of the clinical trial protocol.

Concept Relationships:
  Specializes: TREAT

4-L . . . . ETREAT Emergency Treatment

Definition:

To perform one or more operations on information for provision of immediately needed health care for an emergent condition.

Concept Relationships:
  Specializes: TREAT

4-L . . . . POPHLTH population health

Definition:

To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program.

Concept Relationships:
  Specializes: TREAT

2-A . . _ActConsentInformationAccessOverrideReason
. .   v:ActConsentInformationAccessOverrideReason
ActConsentInformationAccessOverrideReason

Definition:

To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety.

Usage Notes: Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.

Concept Relationships:
  Specializes: _ActHealthInformationManagementReason
  Generalizes (derived): OVRER OVRPJ OVRPS OVRTPS

3-L . . . OVRER emergency treatment override

Definition:

To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention.

Usage Notes: The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record.

Concept Relationships:
  Specializes: _ActConsentInformationAccessOverrideReason

3-L . . . OVRPJ professional judgment override

Definition:

To perform one or more operations on information to which the patient declined to consent for providing health care.

Usage Notes: The patient, while able to give consent, has not. However the provider believes it is in the patient's interest to access the record without patient consent.

Concept Relationships:
  Specializes: _ActConsentInformationAccessOverrideReason

3-L . . . OVRPS public safety override

Definition:

To perform one or more operations on information to which the patient has not consented for public safety reasons.

Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to public safety.

Concept Relationships:
  Specializes: _ActConsentInformationAccessOverrideReason

3-L . . . OVRTPS third party safety override

Definition:

To perform one or more operations on information to which the patient has not consented for third party safety.

Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties.

Concept Relationships:
  Specializes: _ActConsentInformationAccessOverrideReason

1-A _ActInformationPrivacyReason ActInformationPrivacyReason

Definition:

Description:The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order.

Concept Relationships:
  Specializes: _ActInformationManagementReason
  Generalizes (derived): MARKT OPERAT PAYMT RESCH SRVC

2-L . . MARKT marketing

Definition:

Description:

Concept Relationships:
  Specializes: _ActInformationPrivacyReason

2-S . . OPERAT operations

Definition:

Description:Administrative and contractual processes required to support an activity, product, or service

Concept Relationships:
  Specializes: _ActInformationPrivacyReason
  Generalizes (derived): ACCRED COMPL ENADMIN LEGAL OUTCOMS PRGRPT QUALIMP SYSADMN

3-L . . . ACCRED accreditation

Definition:

Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service

Concept Relationships:
  Specializes: OPERAT

3-L . . . COMPL compliance

Definition:

Description:Operational activities required to meet a mandate related to an activity, product, or service

Concept Relationships:
  Specializes: OPERAT

3-L . . . ENADMIN entity administration

Definition:

Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service

Concept Relationships:
  Specializes: OPERAT

3-L . . . LEGAL subpoena

Definition:

Definition:To provide information as a result of a subpoena.

Concept Relationships:
  Specializes: OPERAT _PatientProfileQueryReasonCode

3-L . . . OUTCOMS outcome measure

Definition:

Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service

Concept Relationships:
  Specializes: OPERAT

3-L . . . PRGRPT program reporting

Definition:

Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service

Concept Relationships:
  Specializes: OPERAT

3-L . . . QUALIMP quality improvement

Definition:

Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service

Concept Relationships:
  Specializes: OPERAT

3-L . . . SYSADMN system administration

Definition:

Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service

Concept Relationships:
  Specializes: OPERAT

2-L . . PAYMT payment

Definition:

Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service

Concept Relationships:
  Specializes: _ActInformationPrivacyReason

2-L . . RESCH research

Definition:

Description:Investigative activities conducted for the purposes of obtaining knowledge

Concept Relationships:
  Specializes: _ActInformationPrivacyReason

2-L . . SRVC service

Definition:

Description:Provision of a service, product, or capability to an individual or organization

Concept Relationships:
  Specializes: _ActInformationPrivacyReason

0-S _ActInvalidReason ActInvalidReason

Definition:

Description: Types of reasons why a substance is invalid for use.

Concept Relationships:
  Generalizes (derived): ADVSTORAGE EXPLOT OUTSIDESCHED PRODRECALL

1-S ADVSTORAGE adverse storage condition

Definition:

Description: Storage conditions caused the substance to be ineffective.

Concept Relationships:
  Specializes: _ActInvalidReason
  Generalizes (derived): COLDCHNBRK

2-L . . COLDCHNBRK cold chain break

Definition:

Description: Cold chain was not maintained for the substance.

Concept Relationships:
  Specializes: ADVSTORAGE

1-L EXPLOT expired lot

Definition:

Description: The lot from which the substance was drawn was expired.

Concept Relationships:
  Specializes: _ActInvalidReason

1-L OUTSIDESCHED administered outside recommended schedule or practice

Definition:

The substance was administered outside of the recommended schedule or practice.

Concept Relationships:
  Specializes: _ActInvalidReason

1-L PRODRECALL product recall

Definition:

Description: The substance was recalled by the manufacturer.

Concept Relationships:
  Specializes: _ActInvalidReason

0-A _ActInvoiceCancelReason ActInvoiceCancelReason

Definition:

Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping.

Concept Relationships:
  Generalizes (derived): INCCOVPTY INCINVOICE INCPOLICY INCPROV

1-L INCCOVPTY incorrect covered party as patient

Definition:

The covered party (patient) specified with the Invoice is not correct.

Concept Relationships:
  Specializes: _ActInvoiceCancelReason

1-L INCINVOICE incorrect billing

Definition:

The billing information, specified in the Invoice Elements, is not correct. This could include incorrect costing for items included in the Invoice.

Concept Relationships:
  Specializes: _ActInvoiceCancelReason

1-L INCPOLICY incorrect policy

Definition:

The policy specified with the Invoice is not correct. For example, it may belong to another Adjudicator or Covered Party.

Concept Relationships:
  Specializes: _ActInvoiceCancelReason

1-L INCPROV incorrect provider

Definition:

The provider specified with the Invoice is not correct.

Concept Relationships:
  Specializes: _ActInvoiceCancelReason

0-A _ActNoImmunizationReason
 v:ActNoImmunizationReason
ActNoImmunizationReason

Definition:

A coded description of the reason for why a patient did not receive a scheduled immunization.

(important for public health strategy

Concept Relationships:
  Generalizes (derived): IMMUNE MEDPREC OSTOCK PATOBJ PHILISOP RELIG VACEFF VACSAF

1-L IMMUNE immunity

Definition:

Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.

Concept Relationships:
  Specializes: _ActNoImmunizationReason

1-L MEDPREC medical precaution

Definition:

Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.

Concept Relationships:
  Specializes: _ActNoImmunizationReason

1-L OSTOCK product out of stock

Definition:

Definition:There was no supply of the product on hand to perform the service.

Concept Relationships:
  Specializes: _ActNoImmunizationReason

1-L PATOBJ patient objection

Definition:

Definition:The patient or their guardian objects to receiving the vaccine.

Concept Relationships:
  Specializes: _ActNoImmunizationReason

1-L PHILISOP philosophical objection

Definition:

Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.

Concept Relationships:
  Specializes: _ActNoImmunizationReason

1-L RELIG religious objection

Definition:

Definition:The patient or their guardian objects to receiving the vaccine on religious grounds.

Concept Relationships:
  Specializes: _ActNoImmunizationReason

1-L VACEFF vaccine efficacy concerns

Definition:

Definition:The intended vaccine has expired or is otherwise believed to no longer be effective.

Example:Due to temperature exposure.

Concept Relationships:
  Specializes: _ActNoImmunizationReason

1-L VACSAF vaccine safety concerns

Definition:

Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety.

Concept Relationships:
  Specializes: _ActNoImmunizationReason

0-A _ActSupplyFulfillmentRefusalReason
 v:ActSupplyFulfillmentRefusalReason
ActSupplyFulfillmentRefusalReason

Definition:

Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. "Suspect fraud", "Possible abuse", "Contraindicated".

(used when capturing 'refusal to fill' annotations)

Concept Relationships:
  Generalizes (derived): FRR01 FRR02 FRR03 FRR04 FRR05 FRR06

1-L FRR01 order stopped

Definition:

Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically.

Example:A verbal stop, a fax, etc.

Concept Relationships:
  Specializes: _ActSupplyFulfillmentRefusalReason

1-L FRR02 stale-dated order

Definition:

Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current.

Concept Relationships:
  Specializes: _ActSupplyFulfillmentRefusalReason

1-L FRR03 incomplete data

Definition:

Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available

Example:Lab results, diagnostic imaging, etc.

Concept Relationships:
  Specializes: _ActSupplyFulfillmentRefusalReason

1-L FRR04 product unavailable

Definition:

Definition:Product not available or manufactured. Cannot supply.

Concept Relationships:
  Specializes: _ActSupplyFulfillmentRefusalReason

1-L FRR05 ethical/religious

Definition:

Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.

Concept Relationships:
  Specializes: _ActSupplyFulfillmentRefusalReason

1-L FRR06 unable to provide care

Definition:

Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order.

Example:Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc.

Concept Relationships:
  Specializes: _ActSupplyFulfillmentRefusalReason

0-A _ClinicalResearchEventReason ClinicalResearchEventReason

Definition:

Definition:Specifies the reason that an event occurred in a clinical research study.

Concept Relationships:
  Generalizes (derived): RET SCH TRM UNS

1-L RET retest

Definition:

Definition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol.

Concept Relationships:
  Specializes: _ClinicalResearchEventReason

1-L SCH scheduled

Definition:

Definition:The event occurred due to it being scheduled in the research protocol.

Concept Relationships:
  Specializes: _ClinicalResearchEventReason

1-L TRM termination

Definition:

Definition:The event occurred in order to terminate the subject's participation in the study.

Concept Relationships:
  Specializes: _ClinicalResearchEventReason

1-L UNS unscheduled

Definition:

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

Concept Relationships:
  Specializes: _ClinicalResearchEventReason

0-A _ClinicalResearchObservationReason ClinicalResearchObservationReason

Definition:

Definition:SSpecifies the reason that a test was performed or observation collected in a clinical research study.

Note:This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications.

Concept Relationships:
  Generalizes (derived): NPT PPT UPT

1-L NPT non-protocol

Definition:

Definition:The observation or test was neither defined or scheduled in the study protocol.

Concept Relationships:
  Specializes: _ClinicalResearchObservationReason

1-L PPT per protocol

Definition:

Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol.

Concept Relationships:
  Specializes: _ClinicalResearchObservationReason

1-L UPT per definition

Definition:

:The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol.

Concept Relationships:
  Specializes: _ClinicalResearchObservationReason

0-A _CombinedPharmacyOrderSuspendReasonCode CombinedPharmacyOrderSuspendReasonCode

Definition:

Description:Indicates why the prescription should be suspended.

Concept Relationships:
  Generalizes (derived): ALTCHOICE CLARIF DRUGHIGH HOSPADM LABINT NON-AVAIL PREG SALG SDDI SDUPTHER SINTOL SURG WASHOUT

1-L ALTCHOICE try another treatment first

Definition:

Description:This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L CLARIF prescription requires clarification

Definition:

Description:Clarification is required before the order can be acted upon.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L DRUGHIGH drug level too high

Definition:

Description:The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L HOSPADM admission to hospital

Definition:

Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L LABINT lab interference issues

Definition:

Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L NON-AVAIL patient not-available

Definition:

Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L PREG parent is pregnant/breast feeding

Definition:

Description:The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L SALG allergy

Definition:

Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L SDDI drug interacts with another drug

Definition:

Description:The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L SDUPTHER duplicate therapy

Definition:

Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L SINTOL suspected intolerance

Definition:

Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L SURG patient scheduled for surgery

Definition:

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

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

1-L WASHOUT waiting for old drug to wash out

Definition:

Description:The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.

Concept Relationships:
  Specializes: _CombinedPharmacyOrderSuspendReasonCode

0-S _ControlActNullificationReasonCode ControlActNullificationReasonCode

Definition:

Description:Identifies reasons for nullifying (retracting) a particular control act.

Concept Relationships:
  Generalizes (derived): ALTD EIE NORECMTCH

1-L ALTD altered decision

Definition:

Description:The decision on which the recorded information was based was changed before the decision had an effect.

Example:Aborted prescription before patient left office, released prescription before suspend took effect.

Concept Relationships:
  Specializes: _ControlActNullificationReasonCode

1-L EIE entered in error

Definition:

Description:The information was recorded incorrectly or was recorded in the wrong record.

Concept Relationships:
  Specializes: _ControlActNullificationReasonCode

1-L NORECMTCH no record match

Definition:

Description: There is no match for the record in the database.

Concept Relationships:
  Specializes: NOMATCH _ControlActNullificationReasonCode _StatusRevisionRefusalReasonCode

0-A _ControlActNullificationRefusalReasonType
 v:ControlActNullificationRefusalReasonType
ControlActNullificationRefusalReasonType

Definition:

Description: Reasons to refuse a transaction to be undone.

Concept Relationships:
  Generalizes (derived): INRQSTATE NOMATCH NOPERM WRNGVER

1-L INRQSTATE in requested state

Definition:

The record is already in the requested state.

Concept Relationships:
  Specializes: _ControlActNullificationRefusalReasonType _StatusRevisionRefusalReasonCode

1-S NOMATCH no match

Definition:

Description: There is no match.

Concept Relationships:
  Specializes: _ControlActNullificationRefusalReasonType _RefusalReasonCode
  Generalizes (derived): NOPRODMTCH NORECMTCH NOSERMTCH NOVERMTCH

2-L . . NOPRODMTCH no product match

Definition:

Description: There is no match for the product in the master file repository.

Concept Relationships:
  Specializes: NOMATCH

2-L . . NORECMTCH no record match

Definition:

Description: There is no match for the record in the database.

Concept Relationships:
  Specializes: NOMATCH _ControlActNullificationReasonCode _StatusRevisionRefusalReasonCode

2-L . . NOSERMTCH no service match

Definition:

Description: There is no match for the service in the master file repository.

Concept Relationships:
  Specializes: NOMATCH

2-L . . NOVERMTCH no version match

Definition:

Description: There is no match for the record and version.

Concept Relationships:
  Specializes: NOMATCH

1-S NOPERM no permission

Definition:

Description: There is no permission.

Concept Relationships:
  Specializes: _ControlActNullificationRefusalReasonType _RefusalReasonCode
  Generalizes (derived): NOAGNTPERM NOUSERPERM

2-L . . NOAGNTPERM no agent permission

Definition:

Description: The agent does not have permission.

Concept Relationships:
  Specializes: NOPERM

2-L . . NOUSERPERM no user permission

Definition:

Definition:The user does not have permission

Concept Relationships:
  Specializes: NOPERM _PharmacySupplyRequestFulfillerRevisionRefusalReasonCode _StatusRevisionRefusalReasonCode _SubstanceAdministrationPermissionRefusalReasonCode

1-L WRNGVER wrong version

Definition:

Description: The record and version requested to update is not the current version.

Concept Relationships:
  Specializes: _ControlActNullificationRefusalReasonType

0-A _ControlActReason
 v:ControlActReason
ControlActReason

Definition:

Identifies why a specific query, request, or other trigger event occurred.

Concept Relationships:
  Generalizes (derived): _MedicationOrderAbortReasonCode _MedicationOrderReleaseReasonCode _PharmacySupplyEventAbortReason _PharmacySupplyEventStockReasonCode _PharmacySupplyRequestRenewalRefusalReasonCode _SupplyOrderAbortReasonCode

1-A _MedicationOrderAbortReasonCode
 v:MedicationOrderAbortReasonCode
medication order abort reason

Definition:

Description:Indicates the reason the medication order should be aborted.

Concept Relationships:
  Specializes: _ControlActReason
  Generalizes (derived): DISCONT INEFFECT MONIT NOREQ NOTCOVER PREFUS RECALL REPLACE REPLACEFIX UNABLE

2-L . . DISCONT product discontinued

Definition:

Description:The medication is no longer being manufactured or is otherwise no longer available.

Concept Relationships:
  Specializes: _MedicationOrderAbortReasonCode _PharmacySupplyRequestRenewalRefusalReasonCode

2-L . . INEFFECT ineffective

Definition:

Description:The therapy has been found to not have the desired therapeutic benefit on the patient.

Concept Relationships:
  Specializes: _MedicationOrderAbortReasonCode

2-L . . MONIT response to monitoring

Definition:

Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate.

Concept Relationships:
  Specializes: _MedicationOrderAbortReasonCode

2-L . . NOREQ no longer required for treatment

Definition:

Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed.

Concept Relationships:
  Specializes: _MedicationOrderAbortReasonCode

2-L . . NOTCOVER not covered

Definition:

Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy.

Concept Relationships:
  Specializes: _MedicationOrderAbortReasonCode

2-L . . PREFUS patient refuse

Definition:

Description:The patient refused to take the product.

Concept Relationships:
  Specializes: _MedicationOrderAbortReasonCode

2-L . . RECALL product recalled

Definition:

Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation.

Concept Relationships:
  Specializes: _MedicationOrderAbortReasonCode

2-S . . REPLACE change in order

Definition:

Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it.

Concept Relationships:
  Specializes: _MedicationOrderAbortReasonCode
  Generalizes (derived): DOSECHG

3-L . . . DOSECHG change in medication/dose

Definition:

Description:The medication is being re-prescribed at a different dosage.

Concept Relationships:
  Specializes: REPLACE

2-L . . REPLACEFIX error in order

Definition:

Description:Current order was issued with incorrect data and a new order has/will be created to replace it.

Concept Relationships:
  Specializes: _MedicationOrderAbortReasonCode

2-L . . UNABLE unable to use

Definition:

Description:<The patient is not (or is no longer) able to use the medication in a manner prescribed.

Example:CanaTMt swallow.

Concept Relationships:
  Specializes: _MedicationOrderAbortReasonCode

1-A _MedicationOrderReleaseReasonCode
 v:MedicationOrderReleaseReasonCode
medication order release reason

Definition:

Definition:A collection of concepts that indicate why the prescription should be released from suspended state.

Concept Relationships:
  Specializes: _ControlActReason
  Generalizes (derived): HOLDDONE HOLDINAP

2-L . . HOLDDONE suspend reason no longer applies

Definition:

Definition:The original reason for suspending the medication has ended.

Concept Relationships:
  Specializes: _MedicationOrderReleaseReasonCode

2-L . . HOLDINAP suspend reason inappropriate

Definition:

Definition:

Concept Relationships:
  Specializes: _MedicationOrderReleaseReasonCode

1-S _PharmacySupplyEventAbortReason
 v:PharmacySupplyEventAbortReason
PharmacySupplyEventAbortReason

Definition:

Definition:Identifies why the dispense event was not completed.

Concept Relationships:
  Specializes: _ControlActReason
  Generalizes (derived): CONTRA FOABORT FOSUSP NOPICK PATDEC QUANTCHG

2-L . . CONTRA contraindication

Definition:

Definition:Contraindication identified

Concept Relationships:
  Specializes: _PharmacySupplyEventAbortReason

2-L . . FOABORT order aborted

Definition:

Definition:Order to be fulfilled was aborted

Concept Relationships:
  Specializes: _PharmacySupplyEventAbortReason

2-L . . FOSUSP order suspended

Definition:

Definition:Order to be fulfilled was suspended

Concept Relationships:
  Specializes: _PharmacySupplyEventAbortReason

2-L . . NOPICK not picked up

Definition:

Definition:Patient did not come to get medication

Concept Relationships:
  Specializes: _PharmacySupplyEventAbortReason

2-L . . PATDEC patient changed mind

Definition:

Definition:Patient changed their mind regarding obtaining medication

Concept Relationships:
  Specializes: _PharmacySupplyEventAbortReason

2-L . . QUANTCHG change supply quantity

Definition:

Definition:Patient requested a revised quantity of medication

Concept Relationships:
  Specializes: _PharmacySupplyEventAbortReason

1-A _PharmacySupplyEventStockReasonCode
 v:PharmacySupplyEventStockReasonCode
pharmacy supply event stock reason

Definition:

Definition:A collection of concepts that indicates the reason for a "bulk supply" of medication.

Concept Relationships:
  Specializes: _ControlActReason
  Generalizes (derived): FLRSTCK LTC OFFICE PHARM PROG

2-L . . FLRSTCK floor stock

Definition:

Definition:The bulk supply is issued to replenish a ward for local dispensing. (Includes both mobile and fixed-location ward stocks.)

Concept Relationships:
  Specializes: _PharmacySupplyEventStockReasonCode

2-L . . LTC long term care use

Definition:

Definition:The bulk supply will be administered within a long term care facility.

Concept Relationships:
  Specializes: _PharmacySupplyEventStockReasonCode

2-L . . OFFICE office use

Definition:

Definition:The bulk supply is intended for general clinician office use.

Concept Relationships:
  Specializes: _PharmacySupplyEventStockReasonCode

2-L . . PHARM pharmacy transfer

Definition:

Definition:The bulk supply is being transferred to another dispensing facility to.

Example:Alleviate a temporary shortage.

Concept Relationships:
  Specializes: _PharmacySupplyEventStockReasonCode

2-L . . PROG program use

Definition:

Definition:The bulk supply is intended for dispensing according to a specific program.

Example:Mass immunization.

Concept Relationships:
  Specializes: _PharmacySupplyEventStockReasonCode

1-A _PharmacySupplyRequestRenewalRefusalReasonCode
 v:PharmacySupplyRequestRenewalRefusalReasonCode
pharmacy supply request renewal refusal reason

Definition:

Definition:A collection of concepts that identifies why a renewal prescription has been refused.

Concept Relationships:
  Specializes: _ControlActReason
  Generalizes (derived): ALREADYRX DISCONT FAMPHYS MODIFY NEEDAPMT NOTAVAIL NOTPAT ONHOLD PRNA TOOEARLY

2-L . . ALREADYRX new prescription exists

Definition:

Definition:Patient has already been given a new (renewal) prescription.

Concept Relationships:
  Specializes: _PharmacySupplyRequestRenewalRefusalReasonCode

2-L . . DISCONT product discontinued

Definition:

Description:The medication is no longer being manufactured or is otherwise no longer available.

Concept Relationships:
  Specializes: _MedicationOrderAbortReasonCode _PharmacySupplyRequestRenewalRefusalReasonCode

2-L . . FAMPHYS family physician must authorize further fills

Definition:

Definition:Request for further authorization must be done through patient's family physician.

Concept Relationships:
  Specializes: _PharmacySupplyRequestRenewalRefusalReasonCode

2-L . . MODIFY modified prescription exists

Definition:

Definition:Therapy has been changed and new prescription issued

Concept Relationships:
  Specializes: _PharmacySupplyRequestRenewalRefusalReasonCode

2-L . . NEEDAPMT patient must make appointment

Definition:

Definition:Patient must see prescriber prior to further fills.

Concept Relationships:
  Specializes: _PharmacySupplyRequestRenewalRefusalReasonCode

2-L . . NOTAVAIL prescriber not available

Definition:

Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient.

Concept Relationships:
  Specializes: _PharmacySupplyRequestRenewalRefusalReasonCode

2-L . . NOTPAT patient no longer in this practice

Definition:

Definition:Patient no longer or has never been under this prescribers care.

Concept Relationships:
  Specializes: _PharmacySupplyRequestRenewalRefusalReasonCode

2-L . . ONHOLD medication on hold

Definition:

Definition:This medication is on hold.

Concept Relationships:
  Specializes: _PharmacySupplyRequestRenewalRefusalReasonCode

2-L . . PRNA product not available

Definition:

Description:This product is not available or manufactured.

Concept Relationships:
  Specializes: _PharmacySupplyRequestRenewalRefusalReasonCode

2-L . . TOOEARLY too early

Definition:

Definition:The patient should have medication remaining.

Concept Relationships:
  Specializes: _PharmacySupplyRequestRenewalRefusalReasonCode

1-A _SupplyOrderAbortReasonCode
 v:SupplyOrderAbortReasonCode
supply order abort reason

Definition:

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

Concept Relationships:
  Specializes: _ControlActReason
  Generalizes (derived): IMPROV INTOL NEWSTR NEWTHER

2-L . . IMPROV condition improved

Definition:

Definition:The patient's medical condition has nearly abated.

Concept Relationships:
  Specializes: _SupplyOrderAbortReasonCode

2-L . . INTOL intolerance

Definition:

Description:The patient has an intolerance to the medication.

Concept Relationships:
  Specializes: _SupplyOrderAbortReasonCode

2-L . . NEWSTR new strength

Definition:

Definition:The current medication will be replaced by a new strength of the same medication.

Concept Relationships:
  Specializes: _SupplyOrderAbortReasonCode

2-L . . NEWTHER new therapy

Definition:

Definition:A new therapy will be commenced when current supply exhausted.

Concept Relationships:
  Specializes: _SupplyOrderAbortReasonCode

0-A _GenericUpdateReasonCode
 v:GenericUpdateReasonCode
GenericUpdateReasonCode

Definition:

Description:Identifies why a change is being made to a record.

Concept Relationships:
  Generalizes (derived): CHGDATA FIXDATA MDATA NEWDATA UMDATA

1-L CHGDATA information change

Definition:

Description:Information has changed since the record was created.

Concept Relationships:
  Specializes: _GenericUpdateReasonCode

1-L FIXDATA error correction

Definition:

Description:Previously recorded information was erroneous and is being corrected.

Concept Relationships:
  Specializes: _GenericUpdateReasonCode

1-L MDATA merge data

Definition:

Information is combined into the record.

Concept Relationships:
  Specializes: _GenericUpdateReasonCode

1-L NEWDATA new information

Definition:

Description:New information has become available to supplement the record.

Concept Relationships:
  Specializes: _GenericUpdateReasonCode

1-L UMDATA unmerge data

Definition:

Information is separated from the record.

Concept Relationships:
  Specializes: _GenericUpdateReasonCode

0-A _PatientProfileQueryReasonCode patient profile query reason

Definition:

Definition:A collection of concepts identifying why the patient's profile is being queried.

Concept Relationships:
  Generalizes (derived): ADMREV LEGAL PATCAR PATREQ PRCREV REGUL RSRCH VALIDATION

1-L ADMREV administrative review

Definition:

Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures.

Concept Relationships:
  Specializes: _PatientProfileQueryReasonCode

1-L LEGAL subpoena

Definition:

Definition:To provide information as a result of a subpoena.

Concept Relationships:
  Specializes: OPERAT _PatientProfileQueryReasonCode

1-L PATCAR patient care

Definition:

Definition:To obtain records as part of patient care.

Concept Relationships:
  Specializes: _PatientProfileQueryReasonCode

1-L PATREQ patient request query

Definition:

Definition:Patient requests information from their profile.

Concept Relationships:
  Specializes: _PatientProfileQueryReasonCode

1-L PRCREV practice review

Definition:

Definition:To evaluate the provider's current practice for professional-improvement reasons.

Concept Relationships:
  Specializes: _PatientProfileQueryReasonCode

1-L REGUL regulatory review

Definition:

Description:Review for the purpose of regulatory compliance.

Concept Relationships:
  Specializes: _PatientProfileQueryReasonCode

1-L RSRCH research

Definition:

Definition:To provide research data, as authorized by the patient.

Concept Relationships:
  Specializes: _PatientProfileQueryReasonCode

1-L VALIDATION validation review

Definition:

Description:To validate the patient's record.

Example:Merging or unmerging records.

Concept Relationships:
  Specializes: _PatientProfileQueryReasonCode

0-S _PharmacySupplyRequestFulfillerRevisionRefusalReasonCode
 v:PharmacySupplyRequestFulfillerRevisionRefusalReasonCode
PharmacySupplyRequestFulfillerRevisionRefusalReasonCode

Definition:

Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.

Concept Relationships:
  Generalizes (derived): LOCKED NOUSERPERM UNKWNTARGET

1-L LOCKED locked

Definition:

Definition:The prescription may not be reassigned from the original pharmacy.

Concept Relationships:
  Specializes: _PharmacySupplyRequestFulfillerRevisionRefusalReasonCode

1-L NOUSERPERM no user permission

Definition:

Definition:The user does not have permission

Concept Relationships:
  Specializes: NOPERM _PharmacySupplyRequestFulfillerRevisionRefusalReasonCode _StatusRevisionRefusalReasonCode _SubstanceAdministrationPermissionRefusalReasonCode

1-L UNKWNTARGET unknown target

Definition:

Definition:The target facility does not recognize the dispensing facility.

Concept Relationships:
  Specializes: _PharmacySupplyRequestFulfillerRevisionRefusalReasonCode

0-A _RefusalReasonCode
 v:RefusalReasonCode
 v:UpdateRefusalReasonCode
RefusalReasonCode

Definition:

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

Concept Relationships:
  Generalizes (derived): NOMATCH NOPERM

1-S NOMATCH no match

Definition:

Description: There is no match.

Concept Relationships:
  Specializes: _ControlActNullificationRefusalReasonType _RefusalReasonCode
  Generalizes (derived): NOPRODMTCH NORECMTCH NOSERMTCH NOVERMTCH

2-L . . NOPRODMTCH no product match

Definition:

Description: There is no match for the product in the master file repository.

Concept Relationships:
  Specializes: NOMATCH

2-L . . NORECMTCH no record match

Definition:

Description: There is no match for the record in the database.

Concept Relationships:
  Specializes: NOMATCH _ControlActNullificationReasonCode _StatusRevisionRefusalReasonCode

2-L . . NOSERMTCH no service match

Definition:

Description: There is no match for the service in the master file repository.

Concept Relationships:
  Specializes: NOMATCH

2-L . . NOVERMTCH no version match

Definition:

Description: There is no match for the record and version.

Concept Relationships:
  Specializes: NOMATCH

1-S NOPERM no permission

Definition:

Description: There is no permission.

Concept Relationships:
  Specializes: _ControlActNullificationRefusalReasonType _RefusalReasonCode
  Generalizes (derived): NOAGNTPERM NOUSERPERM

2-L . . NOAGNTPERM no agent permission

Definition:

Description: The agent does not have permission.

Concept Relationships:
  Specializes: NOPERM

2-L . . NOUSERPERM no user permission

Definition:

Definition:The user does not have permission

Concept Relationships:
  Specializes: NOPERM _PharmacySupplyRequestFulfillerRevisionRefusalReasonCode _StatusRevisionRefusalReasonCode _SubstanceAdministrationPermissionRefusalReasonCode

0-A _SchedulingActReason
 v:SchedulingActReason
SchedulingActReason

Definition:

Reasons for cancelling or rescheduling an Appointment

Concept Relationships:
  Generalizes (derived): BLK DEC FIN MED MTG PAT PHY

1-L BLK Unexpected Block (of Schedule)

Definition:

The time slots previously allocated are now blocked and no longer available for booking Appointments

Concept Relationships:
  Specializes: _SchedulingActReason

1-L DEC Patient Deceased

Definition:

The Patient is deceased

Concept Relationships:
  Specializes: _SchedulingActReason

1-L FIN No Financial Backing

Definition:

Patient unable to pay and not covered by insurance

Concept Relationships:
  Specializes: _SchedulingActReason

1-L MED Medical Status Altered

Definition:

The medical condition of the Patient has changed

Concept Relationships:
  Specializes: _SchedulingActReason

1-L MTG In an outside meeting

Definition:

The Physician is in a meeting. For example, he/she may request administrative time to talk to family after appointment

Concept Relationships:
  Specializes: _SchedulingActReason

1-L PAT Patient request

Definition:

The Patient requested the action

Concept Relationships:
  Specializes: _ActAccommodationReason _SchedulingActReason _SubstanceAdminSubstitutionNotAllowedReason

1-L PHY Physician request

Definition:

The Physician requested the action

Concept Relationships:
  Specializes: _SchedulingActReason

0-S _StatusRevisionRefusalReasonCode
 v:StatusRevisionRefusalReasonCode
StatusRevisionRefusalReasonCode

Definition:

Indicates why the act revision (status update) is being refused.

Concept Relationships:
  Generalizes (derived): FILLED INRQSTATE NORECMTCH NOUSERPERM

1-L FILLED fully filled

Definition:

Ordered quantity has already been completely fulfilled.

Concept Relationships:
  Specializes: _StatusRevisionRefusalReasonCode

1-L INRQSTATE in requested state

Definition:

The record is already in the requested state.

Concept Relationships:
  Specializes: _ControlActNullificationRefusalReasonType _StatusRevisionRefusalReasonCode

1-L NORECMTCH no record match

Definition:

Description: There is no match for the record in the database.

Concept Relationships:
  Specializes: NOMATCH _ControlActNullificationReasonCode _StatusRevisionRefusalReasonCode

1-L NOUSERPERM no user permission

Definition:

Definition:The user does not have permission

Concept Relationships:
  Specializes: NOPERM _PharmacySupplyRequestFulfillerRevisionRefusalReasonCode _StatusRevisionRefusalReasonCode _SubstanceAdministrationPermissionRefusalReasonCode

0-A _SubstanceAdminSubstitutionNotAllowedReason
 v:SubstanceAdminSubstitutionNotAllowedReason
SubstanceAdminSubstitutionNotAllowedReason

Definition:

Reasons why substitution of a substance administration request is not permitted.

Concept Relationships:
  Generalizes (derived): ALGINT COMPCON PAT THERCHAR TRIAL

1-L ALGINT allergy intolerance

Definition:

Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components.

Concept Relationships:
  Specializes: _SubstanceAdminSubstitutionNotAllowedReason

1-L COMPCON compliance concern

Definition:

Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency.

Concept Relationships:
  Specializes: _SubstanceAdminSubstitutionNotAllowedReason

1-L PAT Patient request

Definition:

The Patient requested the action

Concept Relationships:
  Specializes: _ActAccommodationReason _SchedulingActReason _SubstanceAdminSubstitutionNotAllowedReason

1-L THERCHAR therapeutic characteristics

Definition:

The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications.

Concept Relationships:
  Specializes: _SubstanceAdminSubstitutionNotAllowedReason

1-L TRIAL clinical trial drug

Definition:

Definition: The specific manufactured drug is part of a clinical trial.

Concept Relationships:
  Specializes: _SubstanceAdminSubstitutionNotAllowedReason

0-A _SubstanceAdminSubstitutionReason
 v:SubstanceAdminSubstitutionReason
SubstanceAdminSubstitutionReason

Concept Relationships:
  Generalizes (derived): CT FP OS RR

1-L CT continuing therapy

Definition:

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

Concept Relationships:
  Specializes: _SubstanceAdminSubstitutionReason

1-L FP formulary policy

Definition:

Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary.

Concept Relationships:
  Specializes: _SubstanceAdminSubstitutionReason

1-L OS out of stock

Definition:

In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock.

Concept Relationships:
  Specializes: _SubstanceAdminSubstitutionReason

1-L RR regulatory requirement

Definition:

Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution.

Concept Relationships:
  Specializes: _SubstanceAdminSubstitutionReason

0-S _SubstanceAdministrationPermissionRefusalReasonCode
 v:SubstanceAdministrationPermissionRefusalReasonCode
SubstanceAdministrationPermissionRefusalReasonCode

Definition:

Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused.

Concept Relationships:
  Generalizes (derived): NOUSERPERM PATINELIG PROTUNMET PROVUNAUTH

1-L NOUSERPERM no user permission

Definition:

Definition:The user does not have permission

Concept Relationships:
  Specializes: NOPERM _PharmacySupplyRequestFulfillerRevisionRefusalReasonCode _StatusRevisionRefusalReasonCode _SubstanceAdministrationPermissionRefusalReasonCode

1-L PATINELIG patient not eligible

Definition:

Definition:Patient not eligible for drug

Concept Relationships:
  Specializes: _SubstanceAdministrationPermissionRefusalReasonCode

1-L PROTUNMET protocol not met

Definition:

Definition:Patient does not meet required protocol

Concept Relationships:
  Specializes: _SubstanceAdministrationPermissionRefusalReasonCode

1-L PROVUNAUTH provider not authorized

Definition:

Definition:Provider is not authorized to prescribe or dispense

Concept Relationships:
  Specializes: _SubstanceAdministrationPermissionRefusalReasonCode

0-A _TransferActReason
 v:TransferActReason
TransferActReason

Definition:

The explanation for why a patient is moved from one location to another within the organization

Concept Relationships:
  Generalizes (derived): ER RQ

1-L ER Error

Definition:

Moved to an error in placing the patient in the original location.

Concept Relationships:
  Specializes: _TransferActReason

1-L RQ Request

Definition:

Moved at the request of the patient.

Concept Relationships:
  Specializes: _TransferActReason


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