- 1. has bounded support
- [A specialization of "has support" (SPRT), used to relate a secondary observation to a Region of Interest on a multidimensional observation, if the ROI specifies the true boundaries of the secondary observation as opposed to only marking the approximate area. For example, if the start and end of an ST elevation episode is visible in an EKG, this relation would indicate the ROI bounds the "ST elevation" observation — the ROI defines the true beginning and ending of the episode. Conversely, if a ROI simply contains ST elevation, but it does not define the bounds (start and end) of the episode, the more general "has support" relation is used. Likewise, if a ROI on an image defines the true bounds of a "1st degree burn", the relation "has bounded support" is used; but if the ROI only points to the approximate area of the burn, the general "has support" relation is used. ( HL7V3.0 )] (UMLS (HL7) C1555575) =Idea or Concept =has support;
| - 17. has option
- [A relationship between a source Act that provides more detailed properties to the target Act.The source act thus is a specialization of the target act, but instead of mentioning all the inherited properties it only mentions new property bindings or refinements.The typical use case is to specify certain alternative variants of one kind of Act. The priorityNumber attribute is used to weigh refinements as preferred over other alternative refinements.Example: several routing options for a drug are specified as one SubstanceAdministration for the general treatment with attached refinements for the various routing options. ( HL7V3.0 )] (UMLS (HL7) C1550546) =Idea or Concept =is sequel;
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- 2. has charge
- [A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source). A clinical act may have a charge associated with the execution or delivery of the service.The financial transaction will define the charge (bill) for delivery or performance of the service.Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product. ( HL7V3.0 )] (UMLS (HL7) C1555033) =Idea or Concept =ActRelationshipCostTracking;
| - 18. has outcome
- [An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called "post-conditional".) Target must be an observation as a goal, risk or any criterion. For complex outcomes a conjunction attribute (AND, OR, XOR) can be used. An outcome link is often inverted to describe an outcome assessment. ( HL7V3.0 )] (UMLS (HL7) C1550525) =Idea or Concept =ActRelationshipType;
=has goal;
has risk;
Act Relationsip Objective |
- 3. has component
- [A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently. ( HL7V3.0 )] (UMLS (HL7) C1550519) =Idea or Concept =ActRelationshipType;
=has control variable;
arrival;
departure | - 19. has part
- [The target concept is a part or portion of the source concept. ( HL7V3.0 )] (UMLS (HL7) C1553886) =Idea or Concept =Possible Concept Code Relationships;
◊ [The target Role is part of the Source Role. ( HL7V3.0 )] (UMLS (HL7) C1554207) Idea or Concept RoleLinkType; |
- 4. has continuing objective
- [A desired state that a service action aims to maintain. E.g., keep systolic blood pressure between 90 and 110 mm Hg. Source is an intervention service. Target must be an observation in criterion mood. ( HL7V3.0 )] (UMLS (HL7) C1550528) =Idea or Concept =Act Relationsip Objective;
| - 20. has pertinent information
- [This is a very unspecific relationship from one item of clinical information to another. It does not judge about the role the pertinent information plays. ( HL7V3.0 )] (UMLS (HL7) C1550530) =Idea or Concept =ActRelationshipType;
=limited by;
is derived from;
has reference values;
assigns name;
has subject;
has previous instance;
authorized by;
refers to;
items located;
summarized by;
covered by;
has explanation;
is manifestation of;
is etiology for;
has support;
provides evidence for;
ActRelationshipAccounting |
- 5. has 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. ( HL7V3.0 )] (UMLS (HL7) C1550524) =Idea or Concept =ActRelationshipConditional;
| - 21. has 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. ( HL7V3.0 )] (UMLS (HL7) C1550520) =Idea or Concept =ActRelationshipConditional;
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- 6. has control variable
- [A relationship from an Act to a Control Variable. For example, if a Device makes an Observation, this relates the Observation to its Control Variables documenting the device's settings that influenced the observation. ( HL7V3.0 )] (UMLS (HL7) C1555576) =Idea or Concept =has component;
| - 22. has previous instance
- [A relationship in which the target act is a predecessor instance to the source act. Generally each of these instances is similar, but no identical. In healthcare coverage it is used to link a claim item to a previous claim item that might have claimed for the same set of services. ( HL7V3.0 )] (UMLS (HL7) C1551373) Previous instance;
=Idea or Concept =has pertinent information;
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- 7. has cost
- [A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source). A clinical act may have an inherit cost associated with the execution or delivery of the service.The financial transaction will define the cost of delivery or performance of the service.Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product. ( HL7V3.0 )] (UMLS (HL7) C1555032) =Idea or Concept =ActRelationshipCostTracking;
| - 23. has reason
- [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. 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. ( HL7V3.0 )] (UMLS (HL7) C1562480) =Idea or Concept =ActRelationshipConditional;
=mitigates |
- 8. has credit
- [A credit relationship ties a financial transaction (target) to an account (source). A credit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account credit will decrease the account balance. A non-asset account credit will decrease the account balance. ( HL7V3.0 )] (UMLS (HL7) C1555031) =Idea or Concept =ActRelationshipPosting;
| - 24. has reference values
- [Reference ranges are essentially descriptors of a class of result values assumed to be "normal", "abnormal", or "critical." Those can vary by sex, age, or any other criterion. Source and target are observations, the target is in criterion mood. This link type can act as a trigger in case of alarms being triggered by critical results. ( HL7V3.0 )] (UMLS (HL7) C1550536) =Idea or Concept =has pertinent information;
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- 9. has debit
- [A debit relationship ties a financial transaction (target) to an account (source). A debit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account debit will increase the account balance. A non-asset account debit will decrease the account balance. ( HL7V3.0 )] (UMLS (HL7) C1555030) =Idea or Concept =ActRelationshipPosting;
| - 25. has risk
- [A noteworthy undesired outcome of a patient's condition that is either likely enough to become an issue or is less likely but dangerous enough to be addressed. ( HL7V3.0 )] (UMLS (HL7) C1550529) =Idea or Concept =has outcome;
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- 10. has direct authority over
- [The source Role has direct authority over the target role in a chain of authority. ( HL7V3.0 )] (UMLS (HL7) C1554208) =Idea or Concept =RoleLinkType;
| - 26. has subject
- [Relates an Act to its subject Act that the first Act is primarily concerned with. Examples The first Act may be a ControlAct manipulating the subject Act The first act is a region of interest (ROI) that defines a region within the subject Act. The first act is a reporting or notification Act, that echos the subject Act for a specific new purpose. Constraints An Act may have multiple subject acts. Rationale The ActRelationshipType "has subject" is similar to the ParticipationType "subject", Acts that primarily operate on physical subjects use the Participation, those Acts that primarily operate on other Acts (other information) use the ActRelationship. ( HL7V3.0 )] (UMLS (HL7) C1551354) =Idea or Concept =has pertinent information;
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- 11. has explanation
- [This is the inversion of support. Used to indicate that a given observation is explained by another observation or condition. ( HL7V3.0 )] (UMLS (HL7) C1562009) =Idea or Concept =has pertinent information;
| - 27. has subtype
- [Target concept is a subtype / subclass or the source (or the target concept implies the source ( HL7V3.0 )] (UMLS (HL7) C1553885) =Idea or Concept =Possible Concept Code Relationships;
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- 12. has final objective
- [A desired outcome that a service action aims to meet finally. Source is any service (typically an intervention). Target must be an observation in criterion mood. ( HL7V3.0 )] (UMLS (HL7) C1550527) =Idea or Concept =Act Relationsip Objective;
| - 28. has support
- [Used to indicate that an existing service is suggesting evidence for a new observation. The assumption of support is attributed to the same actor who asserts the observation. Source must be an observation, target may be any service (e.g., to indicate a status post). ( HL7V3.0 )] (UMLS (HL7) C1562601) =Idea or Concept =has pertinent information;
=has bounded support |
- 13. has generalization
- [The generalization relationship can be used to express categorical knowledge about services (e.g., amilorid, triamterene, and spironolactone have the common generalization potassium sparing diuretic). ( HL7V3.0 )] (UMLS (HL7) C1550547) =Idea or Concept =is sequel;
◊ [Relates a specialized material concept (player) to its generalization (scoper). ( HL7V3.0 )] (UMLS (HL7) C1550606) Intellectual Product RoleClassOntological; has generic | - 29. has 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. ( HL7V3.0 )] (UMLS (HL7) C1550521) =Idea or Concept =ActRelationshipConditional;
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- 14. has generic
- [A special link between pharmaceuticals indicating that the target (scoper) is a generic for the source (player). ( HL7V3.0 )] (UMLS (HL7) C1550607) =Idea or Concept =has generalization;
| - 30. hashish
- [ ] (UMLS (CSP) C0018613) =Substance ;
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- 15. has goal
- [A goal that one defines given a patient's health condition. Subsequently planned actions aim to meet that goal. Source is an observation or condition node, target must be an observation in goal mood. ( HL7V3.0 )] (UMLS (HL7) C1550526) =Idea or Concept =has outcome;
| - 31. Hasidim
- [ ] (UMLS (CSP) C1283698) =Idea or Concept
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- 16. has indirect authority over
- [The source Role has indirect authority over the target role in a chain of authority. ( HL7V3.0 )] (UMLS (HL7) C1554209) =Idea or Concept =RoleLinkType;
| - 32. Hassall's Body
- [A small spherical body composed of keratinized squamous epithelial cells arranged in a concentric pattern in the medullary portion of the thymus. ( NCI )] (UMLS (NCI) C0229950) =Body Part, Organ, or Organ Component
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