Code | Display | Definition |
---|---|---|
Certain | Certain | i) Event or laboratory test abnormality, with plausible time relationship to drug intake ii) Cannot be explained by disease or other drugs iii) Response to withdrawal plausible (pharmacologically, pathologically) iv) Event definitive pharmacologically or phenomenologically (i.e. an objective and specific medical disorder or a recognized pharmacological phenomenon) v) Re-challenge satisfactory, if necessary. |
Probably-Likely | Probably/Likely | i) Event or laboratory test abnormality, with reasonable time relationship to drug intake ii) Unlikely to be attributed to disease or other drugs iii) Response to withdrawal clinically reasonable iv) Re-challenge not required. |
Possible | Possible | i) Event or laboratory test abnormality, with reasonable time relationship to drug intake ii) Could also be explained by disease or other drugs iii) Information on drug withdrawal may be lacking or unclear. |
Unlikely | Unlikely | i) Event or laboratory test abnormality, with a time to drug intake that makes a relationship improbable (but not impossible) ii) Disease or other drugs provide plausible explanations. |
Conditional-Classified | Conditional/Classified | i) Event or laboratory test abnormality ii) More data for proper assessment needed, or iii) Additional data under examination. |
Unassessable-Unclassifiable | Unassessable/Unclassifiable | i) Report suggesting an adverse reaction ii) Cannot be judged because information is insufficient or contradictory iii) Data cannot be supplemented or verified. |
Code | Display | Definition |
---|---|---|
partial | Partial | Some health information is known and captured, but not complete - see notes for details. |
completed | Completed | All available related health information is captured as of the date (and possibly time) when the family member history was taken. |
entered-in-error | Entered in error | This instance should not have been part of this patient's medical record. |
health-unknown | Health unknown | Health information for this individual is unavailable/unknown. |
Code | Display | Definition |
---|---|---|
proposed | Proposed | The care team has been drafted and proposed, but not yet participating in the coordination and delivery of care. |
active | Active | The care team is currently participating in the coordination and delivery of care. |
suspended | Suspended | The care team is temporarily on hold or suspended and not participating in the coordination and delivery of care. |
inactive | Inactive | The care team was, but is no longer, participating in the coordination and delivery of care. |
entered-in-error | Entered In Error | The care team should have never existed. |
Code | Display | Definition |
---|---|---|
draft | Draft | The request has been created but is not yet complete or ready for action. |
active | Active | The request is in force and ready to be acted upon. |
on-hold | On Hold | The request (and any implicit authorization to act) has been temporarily withdrawn but is expected to resume in the future. |
revoked | Revoked | The request (and any implicit authorization to act) has been terminated prior to the known full completion of the intended actions. No further activity should occur. |
completed | Completed | The activity described by the request has been fully performed. No further activity will occur. |
entered-in-error | Entered in Error | This request should never have existed and should be considered 'void'. (It is possible that real-world decisions were based on it. If real-world activity has occurred, the status should be "cancelled" rather than "entered-in-error".). |
unknown | Unknown | The authoring/source system does not know which of the status values currently applies for this request. Note: This concept is not to be used for "other" - one of the listed statuses is presumed to apply, but the authoring/source system does not know which. |
Code | Display | Definition |
---|---|---|
active | Active | A current flag that should be displayed to a user. A system may use the category to determine which roles should view the flag. |
inactive | Inactive | The flag does not need to be displayed any more. |
entered-in-error | Entered in Error | The flag was added in error, and should no longer be displayed. |
Code | Display | Definition |
---|---|---|
preparation | Preparation | The core event has not started yet, but some staging activities have begun (e.g. surgical suite preparation). Preparation stages may be tracked for billing purposes. |
in-progress | In Progress | The event is currently occurring. |
not-done | Not Done | The event was terminated prior to any activity beyond preparation. I.e. The 'main' activity has not yet begun. The boundary between preparatory and the 'main' activity is context-specific. |
on-hold | On Hold | The event has been temporarily stopped but is expected to resume in the future. |
stopped | Stopped | The event was terminated prior to the full completion of the intended activity but after at least some of the 'main' activity (beyond preparation) has occurred. |
completed | Completed | The event has now concluded. |
entered-in-error | Entered in Error | This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be "cancelled" rather than "entered-in-error".). |
unknown | Unknown | The authoring/source system does not know which of the status values currently applies for this event. Note: This concept is not to be used for "other" - one of the listed statuses is presumed to apply, but the authoring/source system does not know which. |
Code | Display | Definition |
---|---|---|
unconfirmed | Unconfirmed | There is not sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition. |
confirmed | Confirmed | There is sufficient diagnostic and/or clinical evidence to treat this as a confirmed condition. |
refuted | Refuted | This condition has been ruled out by diagnostic and clinical evidence. |
entered-in-error | Entered In Error | The statement was entered in error and is not valid. |
Code | Display | Definition |
---|---|---|
product-problem | Product Problem | undefined |
product-quality | Product Quality | undefined |
product-use-error | Product Use Error | undefined |
medical-device-use-error | Medical Device Use Error | undefined |
problem-different-manufacturer | Problem with Different Manufacturer of Same Medicine | undefined |
unsafe-physical-environment | Unsafe Physical Environment | undefined |
Code | Display | Definition |
---|---|---|
subject-unknown | Subject Unknown | Patient does not know the subject, e.g. the biological parent of an adopted patient. |
withheld | Information Withheld | The patient withheld or refused to share the information. |
unable-to-obtain | Unable To Obtain | Information cannot be obtained; e.g. unconscious patient. |
deferred | Deferred | Patient does not have the information now, but can provide the information at a later date. |
Code | Display | Definition |
---|---|---|
not-started | Not Started | Activity is planned but no action has yet been taken. |
scheduled | Scheduled | Appointment or other booking has occurred but activity has not yet begun. |
in-progress | In Progress | Activity has been started but is not yet complete. |
on-hold | On Hold | Activity was started but has temporarily ceased with an expectation of resumption at a future time. |
completed | Completed | The activity has been completed (more or less) as planned. |
cancelled | Cancelled | The planned activity has been withdrawn. |
unknown | Unknown | The current state of the activity is not known. Note: This concept is not to be used for "other". |
entered-in-error | Entered In Error | The activity was entered in error and voided. |
Code | Display | Definition |
---|---|---|
in-progress | In Progress | The goal is being sought but has not yet been reached. (Also applies if goal was reached in the past but there has been regression and goal is being sought again). |
achieved | Achieved | The goal has been met. |
not-achieved | Not Achieved | The goal has not been met and there might or might not be progress towards target. |
Code | Display | Definition |
---|---|---|
mild | Mild | undefined |
moderate | Moderate | undefined |
severe | Severe | undefined |
Code | Display | Definition |
---|---|---|
allergy | Allergy | A propensity for hypersensitivity reaction(s) to a substance. These reactions are most typically type I hypersensitivity, plus other "allergy-like" reactions, including pseudoallergy. |
intolerance | Intolerance | A propensity for adverse reactions to a substance that is not judged to be allergic or "allergy-like". These reactions are typically (but not necessarily) non-immune. They are to some degree idiosyncratic and/or individually specific (i.e. are not a reaction that is expected to occur with most or all patients given similar circumstances). |
Code | Display | Definition |
---|---|---|
mild | Mild | Causes mild physiological effects. |
moderate | Moderate | Causes moderate physiological effects. |
severe | Severe | Causes severe physiological effects. |
Code | Display | Definition |
---|---|---|
unknown | Unknown | The communication was not done due to an unknown reason. |
system-error | System Error | The communication was not done due to a system error. |
invalid-phone-number | Invalid Phone Number | The communication was not done due to an invalid phone number. |
recipient-unavailable | Recipient Unavailable | The communication was not done due to the recipient being unavailable. |
family-objection | Family Objection | The communication was not done due to a family objection. |
patient-objection | Patient Objection | The communication was not done due to a patient objection. |
Code | Display | Definition |
---|---|---|
dietary | Dietary | Goals related to the consumption of food and/or beverages. |
safety | Safety | Goals related to the personal protection of the subject. |
behavioral | Behavioral | Goals related to the manner in which the subject acts. |
nursing | Nursing | Goals related to the practice of nursing or established by nurses. |
physiotherapy | Physiotherapy | Goals related to the mobility and motor capability of the subject. |
Code | Display | Definition |
---|---|---|
food | Food | Any substance consumed to provide nutritional support for the body. |
medication | Medication | Substances administered to achieve a physiological effect. |
environment | Environment | Any substances that are encountered in the environment, including any substance not already classified as food, medication, or biologic. |
biologic | Biologic | A preparation that is synthesized from living organisms or their products, especially a human or animal protein, such as a hormone or antitoxin, that is used as a diagnostic, preventive, or therapeutic agent. Examples of biologic medications include: vaccines; allergenic extracts, which are used for both diagnosis and treatment (for example, allergy shots); gene therapies; cellular therapies. There are other biologic products, such as tissues, that are not typically associated with allergies. |
Code | Display | Definition |
---|---|---|
actual | Adverse Event | undefined |
potential | Potential Adverse Event | undefined |
Code | Display | Definition |
---|---|---|
proposed | Proposed | A goal is proposed for this patient. |
planned | Planned | A goal is planned for this patient. |
accepted | Accepted | A proposed goal was accepted or acknowledged. |
cancelled | Cancelled | The goal has been abandoned. |
entered-in-error | Entered In Error | The goal was entered in error and voided. |
rejected | Rejected | A proposed goal was rejected. |
Code | Display | Definition |
---|---|---|
unconfirmed | Unconfirmed | A low level of certainty about the propensity for a reaction to the identified substance. |
confirmed | Confirmed | A high level of certainty about the propensity for a reaction to the identified substance, which may include clinical evidence by testing or rechallenge. |
refuted | Refuted | A propensity for a reaction to the identified substance has been disputed or disproven with a sufficient level of clinical certainty to justify invalidating the assertion. This might or might not include testing or rechallenge. |
entered-in-error | Entered In Error | The statement was entered in error and is not valid. |
Code | Display | Definition |
---|---|---|
alert | Alert | The communication conveys an alert. |
notification | Notification | The communication conveys a notification. |
reminder | Reminder | The communication conveys a reminder. |
instruction | Instruction | The communication conveys instruction. |
Code | Display | Definition |
---|---|---|
diet | Diet | Flags related to the subject's dietary needs. |
drug | Drug | Flags related to the subject's medications. |
lab | Lab | Flags related to performing laboratory tests and related processes (e.g. phlebotomy). |
admin | Administrative | Flags related to administrative and financial processes. |
contact | Subject contact | Flags related to coming into contact with the patient. |
clinical | Clinical | Flags related to the subject's clinical data. |
behavioral | Behavioral | Flags related to behavior. |
research | Research | Flags related to research. |
advance-directive | Advance Directive | Flags related to subject's advance directives. |
safety | Safety | Flags related to safety precautions. |
Code | Display | Definition |
---|---|---|
source | Source of truth | The record represents the "source of truth" (from the perspective of this Linkage resource) for the underlying event/condition/etc. |
alternate | Alternate record | The record represents the alternative view of the underlying event/condition/etc. The record may still be actively maintained, even though it is not considered to be the source of truth. |
historical | Historical/obsolete record | The record represents an obsolete record of the underlying event/condition/etc. It is not expected to be actively maintained. |
Code | Display | Definition |
---|---|---|
problem-list-item | Problem List Item | An item on a problem list which can be managed over time and can be expressed by a practitioner (e.g. physician, nurse), patient, or related person. |
encounter-diagnosis | Encounter Diagnosis | A point in time diagnosis (e.g. from a physician or nurse) in context of an encounter. |
Code | Display | Definition |
---|---|---|
low | Low Risk | Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure. |
high | High Risk | Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure. |
unable-to-assess | Unable to Assess Risk | Unable to assess the worst case result of a future exposure. |
Code | Display | Definition |
---|---|---|
ProbabilityScale | Probability Scale | undefined |
Bayesian | Bayesian | undefined |
Checklist | Checklist | undefined |
Code | Display | Definition |
---|---|---|
resolved | Resolved | undefined |
recovering | Recovering | undefined |
ongoing | Ongoing | undefined |
resolvedWithSequelae | Resolved with Sequelae | undefined |
fatal | Fatal | undefined |
unknown | Unknown | undefined |
Code | Display | Definition |
---|---|---|
active | Active | The subject is currently experiencing or at risk of a reaction to the identified substance. |
inactive | Inactive | The subject is no longer at risk of a reaction to the identified substance. |
Code | Display | Definition |
---|---|---|
prescription-refill-request | Prescription Refill Request | The purpose of the communication is a prescription refill request. |
progress-update | Progress Update | The purpose of the communication is a progress update. |
report-labs | Report Labs | The purpose of the communication is to report labs. |
appointment-reminder | Appointment Reminder | The purpose of the communication is an appointment reminder. |
phone-consult | Phone Consult | The purpose of the communication is a phone consult. |
summary-report | Summary Report | The purpose of the communication is a summary report. |
Code | Display | Definition |
---|---|---|
Non-serious | Non-serious | Non-serious. |
Serious | Serious | Serious. |
Code | Display | Definition |
---|---|---|
implanted | Implanted | The device was implanted in the patient during the procedure. |
explanted | Explanted | The device was explanted from the patient during the procedure. |
manipulated | Manipulated | The device remains in that patient, but its location, settings, or functionality was changed. |
Code | Display | Definition |
---|---|---|
high-priority | High Priority | Indicates that the goal is of considerable importance and should be a primary focus of care delivery. |
medium-priority | Medium Priority | Indicates that the goal has a reasonable degree of importance and that concrete action should be taken towards the goal. Attainment is not as critical as high-priority goals. |
low-priority | Low Priority | The goal is desirable but is not sufficiently important to devote significant resources to. Achievement of the goal may be sought when incidental to achieving other goals. |
Code | Display | Definition |
---|---|---|
active | Active | The subject is currently experiencing the symptoms of the condition or there is evidence of the condition. |
inactive | Inactive | The subject is no longer experiencing the symptoms of the condition or there is no longer evidence of the condition. |