# Logical Record Architecture for Health and Social Care

Contents
The content of this release is not comprehensive and is not fully validated and must not be used in live system implementations.
# Controlled Vocabulary for: LRAParticipationType ## LRA Vocabulary Id 3ae1bd45-05fa-4c0f-88fc-3f143aba1a2d ## Vocabulary Properties
Version: | 2.0
Status | created
Date | 2010-10-18
## Description A set of codes to indicate the type of PARTICIPATION that a ROLE played by an ENTITY has with regard to an associated COMPOSITION or ENTRY. This code set adapts a subset of codes defined by HL7 v3 ParticipationType Enumeration (urn:oid:2.16.840.1.113883.5.90). ## Concept set
Level | Code | Description | Notes
--- | --- | --- | ---
0 | PART | Participation | The unspecified involvement of a ROLE played by an ENTITY with regard to an associated COMPOSITION or ENTRY.
0 | RCT | Record Target | The subject of care for whose EHR the associated RECORD_COMPONENT was created.
0 | ADM | Admitter | The practitioner who is responsible for admitting a patient to a patient encounter.
0 | ATND | Attender | The practitioner that has responsibility for overseeing a patient's care during a patient encounter.
0 | AUT | Author | A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act. Example: the report writer, the person writing the act definition, the guideline author, the placer of an order, the EKG cart (device) creating a report etc. Every Act should have an author. Authorship is regardless of mood always actual authorship. The author (or authors) has ownership of the Acts that they originate. This means that a party other than this author (or those authors) cannot cancel, abort, complete or modify the state or content of this Act in any other way. A party other than the author may only amend, reverse, override, replace, or follow up in other ways on this Act, whereby the Act remains intact and is linked to another Act authored by that other party.
0 | AUTHEN | Authenticator | A verifier who attests to the accuracy of an act, but who does not have privileges to legally authenticate the act. An example would be a resident physician who sees a patient and dictates a note, then later signs it. Their signature constitutes an authentication.
0 | CON | Consultant | An advisor participating in the service by performing evaluations and making recommendations.
0 | CST | Custodian | An entity (person, organization or device) that is in charge of maintaining the information of this act (e.g., who maintains the report or the master service catalogue item, etc.).
0 | 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.
0 | DIS | Discharger | The practitioner who is responsible for the discharge of a patient from a patient encounter.
0 | 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.
0 | 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.
0 | 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.)
0 | PPRF | Primary performer | The principal or primary performer of the act.
0 | PRCP | Primary information recipient | Information recipient to whom an act statement is primarily directed. E.g., a primary care provider receiving a discharge letter from a hospitalist, a health department receiving information on a suspected case of infectious disease. Multiple of these participations may exist on the same act without requiring that recipients be ranked as primary vs. secondary.
0 | 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.
0 | RCV | Receiver | The person (or organization) who receives the product of an Act.
0 | REF | Referrer | A person having referred the subject of the service to the performer (referring physician). Typically, a referring physician will receive a report.
0 | RESP | Responsible party | The person or organization that has primary responsibility for the act. The responsible party 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. This responsibility may be ethical, legal, contractual, fiscal, or fiduciary in nature. Example: A person who is the head of a biochemical laboratory; a sponsor for a policy or government program.
0 | SPRF | Secondary performer | A person assisting in an act through his substantial presence and involvement This includes: assistants, technicians, associates, or whatever the job titles may be.
0 | TRC | Tracker | A secondary information recipient, who receives copies (e.g., a primary care provider receiving copies of results as ordered by specialist).
0 | DST | Destination | TODO: DmcG to provide
0 | ORG | Origin | TODO: DmcG to provide
0 | RFB | Referred by | TODO: DmcG to provide
0 | 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.