Codesystem Name
|
Codesystem Id
|
Version / Eingangsdatum
|
Status
|
ObservationValue
|
2.16.840.1.113883.5.1063
|
2012-07-24
|
definitiv
|
Level/Typ
|
Code
|
Anzeigename
|
Beschreibung
|
0-A
|
_PartialCompletionScale
|
PartialCompletionScale
|
|
1-L
|
G
|
Great extent
|
Value for Act.partialCompletionCode attribute that implies 81-99% completion
|
1-L
|
LE
|
Large extent
|
Value for Act.partialCompletionCode attribute that implies 61-80% completion
|
1-L
|
ME
|
Medium extent
|
Value for Act.partialCompletionCode attribute that implies 41-60% completion
|
1-L
|
MI
|
Minimal extent
|
Value for Act.partialCompletionCode attribute that implies 1-20% completion
|
1-L
|
N
|
None
|
Value for Act.partialCompletionCode attribute that implies 0% completion
|
1-L
|
S
|
Some extent
|
Value for Act.partialCompletionCode attribute that implies 21-40% completion
|
0-A
|
_SeverityObservation
|
SeverityObservation
|
Potential values for observations of severity.
|
1-L
|
H
|
High
|
Indicates the condition may be life-threatening or has the potential to cause permanent injury.
|
1-L
|
L
|
Low
|
Indicates the condition may result in some adverse consequences but is unlikely to substantially affect the situation of the subject.
|
1-L
|
M
|
Moderate
|
Indicates the condition may result in noticable adverse adverse consequences but is unlikely to be life-threatening or cause permanent injury.
|
0-A
|
_AllergyTestValue
|
AllergyTestValue
|
Indicates the result of a particular allergy test. E.g. Negative, Mild, Moderate, Severe
|
1-L
|
A0
|
no reaction
|
Description:Patient exhibits no reaction to the challenge agent.
|
1-L
|
A1
|
minimal reaction
|
Description:Patient exhibits a minimal reaction to the challenge agent.
|
1-L
|
A2
|
mild reaction
|
Description:Patient exhibits a mild reaction to the challenge agent.
|
1-L
|
A3
|
moderate reaction
|
Description:Patient exhibits moderate reaction to the challenge agent.
|
1-L
|
A4
|
severe reaction
|
Description:Patient exhibits a severe reaction to the challenge agent.
|
0-A
|
_VerificationOutcomeValue
|
verification outcome
|
Values for observations of verification act results Examples: Verified, not verified, verified with warning.
|
1-L
|
ACT
|
active coverage
|
Definition: Coverage is in effect for healthcare service(s) and/or product(s).
|
1-L
|
ACTPEND
|
active - pending investigation
|
Definition: Coverage is in effect for healthcare service(s) and/or product(s) - Pending Investigation
|
1-L
|
ELG
|
eligible
|
Definition: Coverage is in effect for healthcare service(s) and/or product(s).
|
1-L
|
INACT
|
inactive
|
Definition: Coverage is not in effect for healthcare service(s) and/or product(s).
|
1-L
|
INPNDINV
|
inactive - pending investigation
|
Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Investigation.
|
1-L
|
INPNDUPD
|
inactive - pending eligibility update
|
Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Eligibility Update.
|
1-L
|
NELG
|
not eligible
|
Definition: Coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.
|
0-A
|
_ActCoverageAssessmentObservationValue
|
ActCoverageAssessmentObservationValue
|
Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.
|
1-S
|
ELSTAT
|
eligibility indicator
|
Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate.
|
2-L
|
ADOPT
|
adoption document
|
Indicator of adoption.
|
2-L
|
BTHCERT
|
birth certificate
|
Indicator of birth.
|
2-L
|
CCOC
|
creditable coverage document
|
Indicator of creditable coverage.
|
2-L
|
DRLIC
|
driver license
|
Indicator of driving status.
|
2-L
|
FOSTER
|
foster child document
|
Indicator of foster child status.
|
2-L
|
MEMBER
|
program or policy member
|
Indicator of status as covered member under a policy or program, e.g., member id card or coverage document.
|
2-L
|
MIL
|
military identification
|
Indicator of military status.
|
2-L
|
MRGCERT
|
marriage certificate
|
Indicator of marriage status.
|
2-L
|
PASSPORT
|
passport
|
Indicator of citizenship.
|
2-L
|
STUDENRL
|
student enrollment
|
Indicator of student status.
|
1-S
|
HLSTAT
|
health status
|
Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.
|
2-L
|
DISABLE
|
disabled
|
Indication of disability.
|
2-L
|
DRUG
|
drug use
|
Indication of drug use.
|
2-L
|
IVDRG
|
IV drug use
|
Indication of IV drug use .
|
2-L
|
PGNT
|
pregnant
|
Non-clinical report of pregnancy.
|
1-S
|
LIVDEP
|
living dependency
|
Code specifying observations related to living dependency, such as dependent upon spouse for activities of daily living.
|
2-L
|
RELDEP
|
relative dependent
|
Continued living in private residence requires functional and health care assistance from one or more relatives.
|
2-L
|
SPSDEP
|
spouse dependent
|
Continued living in private residence requires functional and health care assistance from spouse or life partner.
|
2-L
|
URELDEP
|
unrelated person dependent
|
Continued living in private residence requires functional and health care assistance from one or more unrelated persons.
|
1-S
|
LIVSIT
|
living situation
|
Code specifying observations related to living situation for a person in a private residence.
|
2-L
|
ALONE
|
alone
|
Living alone. Maps to PD1-2 Living arrangement (IS) 00742 [A]
|
2-L
|
DEPCHD
|
dependent children
|
Living with one or more dependent children requiring moderate supervision.
|
2-L
|
DEPSPS
|
dependent spouse
|
Living with disabled spouse requiring functional and health care assistance
|
2-L
|
DEPYGCHD
|
dependent young children
|
Living with one or more dependent children requiring intensive supervision
|
2-L
|
FAM
|
live with family
|
Living with family. Maps to PD1-2 Living arrangement (IS) 00742 [F]
|
2-L
|
RELAT
|
relative
|
Living with one or more relatives. Maps to PD1-2 Living arrangement (IS) 00742 [R]
|
2-L
|
SPS
|
spouse only
|
Living only with spouse or life partner. Maps to PD1-2 Living arrangement (IS) 00742 [S]
|
2-L
|
UNREL
|
unrelated person
|
Living with one or more unrelated persons.
|
1-S
|
SOECSTAT
|
socio economic status
|
Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.
|
2-L
|
ABUSE
|
abuse victim
|
Indication of abuse victim.
|
2-L
|
HMLESS
|
homeless
|
Indication of status as homeless.
|
2-L
|
ILGIM
|
illegal immigrant
|
Indication of status as illegal immigrant.
|
2-L
|
INCAR
|
incarcerated
|
Indication of status as incarcerated.
|
2-L
|
PROB
|
probation
|
Indication of probation status.
|
2-L
|
REFUG
|
refugee
|
Indication of refugee status.
|
2-L
|
UNEMPL
|
unemployed
|
Indication of unemployed status.
|
1-A
|
_ActFinancialStatusObservationValue
|
ActFinancialStatusObservationValue
|
Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.
|
2-S
|
ASSET
|
asset
|
Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.
|
3-L
|
ANNUITY
|
annuity
|
Indicator of annuity ownership or status as beneficiary.
|
3-L
|
PROP
|
real property
|
Indicator of real property ownership, e.g., deed or real estate contract.
|
3-L
|
RETACCT
|
retirement investment account
|
Indicator of retirement investment account ownership.
|
3-L
|
TRUST
|
trust
|
Indicator of status as trust beneficiary.
|
2-S
|
INCOME
|
income
|
Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid.
|
3-L
|
CHILD
|
child support
|
Indicator of child support payments received or provided.
|
3-L
|
DISABL
|
disability pay
|
Indicator of disability income replacement payment.
|
3-L
|
INVEST
|
investment income
|
Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check.
|
3-L
|
PAY
|
paid employment
|
Indicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub.
|
3-L
|
RETIRE
|
retirement pay
|
Indicator of retirement payment, e.g., pension check.
|
3-L
|
SPOUSAL
|
spousal or partner support
|
Indicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement.
|
3-L
|
SUPPLE
|
income supplement
|
Indicator of income supplement, e.g., gifting, parental income support; stipend, or grant.
|
3-L
|
TAX
|
tax obligation
|
Indicator of tax obligation or payment, e.g., statement of taxable income.
|
2-S
|
LIVEXP
|
living expense
|
Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.
|
3-L
|
CLOTH
|
clothing expense
|
Indicator of clothing expenses.
|
3-L
|
FOOD
|
food expense
|
Indicator of transportation expenses.
|
3-L
|
HEALTH
|
health expense
|
Indicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums.
|
3-L
|
HOUSE
|
household expense
|
Indicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs.
|
3-L
|
LEGAL
|
legal expense
|
Indicator of legal expenses.
|
3-L
|
MORTG
|
mortgage
|
Indicator of mortgage amount, interest, and payments.
|
3-L
|
RENT
|
rent
|
Indicator of rental or lease payments.
|
3-L
|
SUNDRY
|
sundry expense
|
Indicator of transportation expenses.
|
3-L
|
TRANS
|
transportation expense
|
Indicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs.
|
3-L
|
UTIL
|
utility expense
|
Indicator of transportation expenses.
|
0-A
|
_CoverageLimitObservationValue
|
CoverageLimitObservationValue
|
Description:Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.
|
1-A
|
_CoverageLevelObservationValue
|
CoverageLevelObservationValue
|
Description:Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.
|
2-L
|
ADC
|
adult child
|
Description:Child over an age as specified by coverage policy or program, e.g., student, differently abled, and income dependent.
|
2-L
|
CHD
|
child
|
Description:Dependent biological, adopted, foster child as specified by coverage policy or program.
|
2-L
|
DEP
|
dependent
|
Description:Person requiring functional and/or financial assistance from another person as specified by coverage policy or program.
|
2-L
|
DP
|
domestic partner
|
Description:Persons registered as a family unit in a domestic partner registry as specified by law and by coverage policy or program.
|
2-L
|
ECH
|
employee
|
Description:An individual employed by an employer who receive remuneration in wages, salary, commission, tips, piece-rates, or pay-in-kind through the employeraTMs payment system (i.e., not a contractor) as specified by coverage policy or program.
|
2-L
|
FLY
|
family coverage
|
Description:As specified by coverage policy or program.
|
2-L
|
IND
|
individual
|
Description:Person as specified by coverage policy or program.
|
2-L
|
SSP
|
same sex partner
|
Description:A pair of people of the same gender who live together as a family as specified by coverage policy or program, e.g., Naomi and Ruth from the Book of Ruth; Socrates and Alcibiades
|
0-A
|
_GeneticObservationValue
|
GeneticObservationValue
|
Description: The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.
|
1-L
|
Homozygote
|
HOMO
|
Description: An individual having different alleles at one or more loci regarding a specific character
|
0-A
|
_SubjectBodyPosition
|
_SubjectBodyPosition
|
Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.
|
1-L
|
LLD
|
left lateral decubitus
|
Lying on the left side.
|
1-L
|
PRN
|
prone
|
Lying with the front or ventral surface downward; lying face down.
|
1-L
|
RLD
|
right lateral decubitus
|
Lying on the right side.
|
1-L
|
SFWL
|
Semi-Fowler's
|
A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees.
|
1-L
|
SIT
|
sitting
|
Resting the body on the buttocks, typically with upper torso erect or semi erect.
|
1-L
|
STN
|
standing
|
To be stationary, upright, vertical, on one's legs.
|
1-S
|
SUP
|
supine
|
|
2-L
|
RTRD
|
reverse trendelenburg
|
Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered.
|
2-L
|
TRD
|
trendelenburg
|
Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised.
|
0-S
|
_ObservationMeasureScoring
|
ObservationMeasureScoring
|
Observation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure.
|
1-L
|
CONTVAR
|
continuous variable measure scoring
|
A measure score in which each individual value for the measure can fall anywhere along a continuous scale (e.g., mean time to thrombolytics which aggregates the time in minutes from a case presenting with chest pain to the time of administration of thrombolytics).
|
1-L
|
PROPOR
|
proportion measure scoring
|
A score derived by dividing the number of cases that meet a criterion for quality (the numerator) by the number of eligible cases within a given time frame (the denominator) where the numerator cases are a subset of the denominator cases (e.g., percentage of eligible women with a mammogram performed in the last year).
|
1-L
|
RATIO
|
ratio measure scoring
|
A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days).
|
0-S
|
_ObservationMeasureType
|
ObservationMeasureType
|
Observation values used to indicate whether a health quality measure is used to example a process or outcome over time.
|
1-L
|
OUTCOME
|
outcome measure type
|
A measure that indicates the result of the performance (or non-performance) of a function or process.
|
1-L
|
PROCESS
|
process measure type
|
A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.
|
0-S
|
_ObservationPopulationInclusion
|
ObservationPopulationInclusion
|
Observation values used to assert various populations that a subject falls into.
|
1-L
|
DENEX
|
denominator exclusions
|
Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.
|
1-L
|
DENEXCEP
|
denominator exceptions
|
Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories: Medical reasons Patient reasons System reasons
|
1-L
|
DENOM
|
denominator
|
It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.
|
1-L
|
IPP
|
initial patient population
|
The initial patient population refers to all patients to be evaluated by a specific performance eMeasure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.
|
1-L
|
MSRPOPL
|
measure population
|
Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).
|
1-L
|
NUMER
|
numerator
|
Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).
|
1-L
|
NUMEX
|
numerator exclusions
|
Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)
|