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Packagehl7.fhir.uv.xver-r5.r4.r4
Resource TypeValueSet
IdValueSet-R5-v3-ActRelationshipConditional-for-R4.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4/0.0.1-snapshot-2/ValueSet-R5-v3-ActRelationshipConditional-for-R4.html
URLhttp://hl7.org/fhir/5.0/ValueSet/R5-v3-ActRelationshipConditional-for-R4
Version0.0.1-snapshot-2
Statusactive
Date2025-09-01T22:37:05.027188+10:00
NameR5_v3_ActRelationshipConditional_for_R4
TitleCross-version VS for R5.ActRelationshipConditional for use in FHIR R4
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActRelationshipConditional|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4.

Resources that use this resource

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Resources that this resource uses

CodeSystem
v3-ActRelationshipTypeActRelationshipType

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet R5-v3-ActRelationshipConditional-for-R4

This value set expansion contains 17 concepts.

CodeSystemDisplayDefinition
  CINDhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypehas contra-indication

A contraindication is just a negation of a reason, i.e. it gives a condition under which the action is not to be done. Both, source and target can be any kind of service; target service is in criterion mood. How the strength of a contraindication is expressed (e.g., relative, absolute) is left as an open issue. The priorityNumber attribute could be used.

  PRCNhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypehas pre-condition

A requirement to be true before a service is performed. The target can be any service in criterion mood. For multiple pre-conditions a conjunction attribute (AND, OR, XOR) is applicable.

  RSONhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypehas reason

Description: The reason or rationale for a service. A reason link is weaker than a trigger, it only suggests that some service may be or might have been a reason for some action, but not that this reason requires/required the action to be taken. Also, as opposed to the trigger, there is no strong timely relation between the reason and the action. As well as providing various types of information about the rationale for a service, the RSON act relationship is routinely used between a SBADM act and an OBS act to describe the indication for use of a medication. Child concepts may be used to describe types of indication.

Discussion: In prior releases, the code "SUGG" (suggests) was expressed as "an inversion of the reason link." That code has been retired in favor of the inversion indicator that is an attribute of ActRelationship.

  BLOCKhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypeblocks

Definition: The source act is performed to block the effects of the target act. This act relationship should be used when describing near miss type incidents where potential harm could have occurred, but the action described in the source act blocked the potential harmful effects of the incident actually occurring.

  DIAGhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypediagnoses

Description: The source act is intended to help establish the presence of a (an adverse) situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.

  IMMhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypeimmunization against

Description: The source act is intented to provide immunity against the effects of the target act (the target act describes an infectious disease)

  ACTIMMhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypeactive immunization against

Description: The source act is intended to provide active immunity against the effects of the target act (the target act describes an infectious disease)

  PASSIMMhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypepassive immunization against

Description: The source act is intended to provide passive immunity against the effects of the target act (the target act describes an infectious disease).

  MITGThttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypemitigates

The source act removes or lessens the occurrence or effect of the target act.

  RCVYhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTyperecovers

Definition: The source act is performed to recover from the effects of the target act.

  PRYLXhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypeprophylaxis of

Description: The source act is intended to reduce the risk of of an adverse situation to emerge as described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.

  TREAThttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypetreats

Description: The source act is intended to improve a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.

  ADJUNCThttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypeadjunctive treatment

Description: The source act is intended to offer an additional treatment for the management or cure of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature. It is not a requirement that the non-adjunctive treatment is explicitly specified.

  MTREAThttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypemaintenance treatment

Description: The source act is intended to provide long term maintenance improvement or management of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.

  PALLTREAThttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypepalliates

Description: The source act is intended to provide palliation for the effects of the target act.

  SYMPhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypesymptomatic relief

Description: The source act is intented to provide symptomatic relief for the effects of the target act.

  TRIGhttp://terminology.hl7.org/CodeSystem/v3-ActRelationshipTypehas trigger

A pre-condition that if true should result in the source Act being executed. The target is in typically in criterion mood. When reported after the fact (i.e. the criterion has been met) it may be in Event mood. A delay between the trigger and the triggered action can be specified.

Discussion: This includes the concept of a required act for a service or financial instrument such as an insurance plan or policy. In such cases, the trigger is the occurrence of a specific condition such as coverage limits being exceeded.


Source1

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        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
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            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
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  ],
  "url": "http://hl7.org/fhir/5.0/ValueSet/R5-v3-ActRelationshipConditional-for-R4",
  "version": "0.0.1-snapshot-2",
  "name": "R5_v3_ActRelationshipConditional_for_R4",
  "title": "Cross-version VS for R5.ActRelationshipConditional for use in FHIR R4",
  "status": "active",
  "experimental": false,
  "date": "2025-09-01T22:37:05.027188+10:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
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          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
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  "description": "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-ActRelationshipConditional|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4.",
  "jurisdiction": [
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      "coding": [
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          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
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  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "concept": [
          {
            "code": "CIND",
            "display": "has contra-indication"
          },
          {
            "code": "PRCN",
            "display": "has pre-condition"
          },
          {
            "code": "RSON",
            "display": "has reason"
          },
          {
            "code": "BLOCK",
            "display": "blocks"
          },
          {
            "code": "DIAG",
            "display": "diagnoses"
          },
          {
            "code": "IMM",
            "display": "immunization against"
          },
          {
            "code": "ACTIMM",
            "display": "active immunization against"
          },
          {
            "code": "PASSIMM",
            "display": "passive immunization against"
          },
          {
            "code": "MITGT",
            "display": "mitigates"
          },
          {
            "code": "RCVY",
            "display": "recovers"
          },
          {
            "code": "PRYLX",
            "display": "prophylaxis of"
          },
          {
            "code": "TREAT",
            "display": "treats"
          },
          {
            "code": "ADJUNCT",
            "display": "adjunctive treatment"
          },
          {
            "code": "MTREAT",
            "display": "maintenance treatment"
          },
          {
            "code": "PALLTREAT",
            "display": "palliates"
          },
          {
            "code": "SYMP",
            "display": "symptomatic relief"
          },
          {
            "code": "TRIG",
            "display": "has trigger"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2025-09-01T22:37:05.027182+10:00",
    "contains": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "CIND",
        "display": "has contra-indication"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "PRCN",
        "display": "has pre-condition"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "RSON",
        "display": "has reason"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "BLOCK",
        "display": "blocks"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "DIAG",
        "display": "diagnoses"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "IMM",
        "display": "immunization against"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "ACTIMM",
        "display": "active immunization against"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "PASSIMM",
        "display": "passive immunization against"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "MITGT",
        "display": "mitigates"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "RCVY",
        "display": "recovers"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "PRYLX",
        "display": "prophylaxis of"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "TREAT",
        "display": "treats"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "ADJUNCT",
        "display": "adjunctive treatment"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "MTREAT",
        "display": "maintenance treatment"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "PALLTREAT",
        "display": "palliates"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "SYMP",
        "display": "symptomatic relief"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType",
        "version": "3.1.0",
        "code": "TRIG",
        "display": "has trigger"
      }
    ]
  }
}