ParticipationType |
Lvl |
Type, Domain name and/or Mnemonic code |
Concept ID |
Mnemonic |
Print Name |
Definition/Description |
1
|
S: ServiceActor ()
|
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: ActorSignatories |
10257 |
|
|
Signatures people having accountability without being physical actors |
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
|
A: ServiceActorInformationGenerator |
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 service object, e.g.,
the report writer, the person writing the service definition, the guideline author, the placer of an order etc. This information
should accompany every service object (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.
|
2
|
A: ServiceActorInformationRecipients |
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: ServiceActorPhysicalPerformer |
10247 |
|
|
Performer, physically acting persons |
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: (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
|
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: (RESPROV)
|
13975 |
RESPROV |
responsible provider |
The provider (person or organization) who has primary responsibility for the act. |
1
|
S: ServiceTargetType ()
|
10285 |
|
|
|
2
|
S: ServiceTargetTypeDirect (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: ServiceTargetTypeSubject (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: (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: (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: (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
|
S: TargetTypeDevice (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
|
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: ServiceTargetTypePatient (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
|
S: TargetTypeLocation (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
|
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.
|