{ "resourceType": "CodeSystem", "id": "DTCodeSystem", "url": "http://objects.directtrust.org/standards/terminology/CodeSystem/DTCodeSystem", "name": "DirectTrustCodeSystem", "title": "DirectTrust Code System", "status": "draft", "date": "2026-11-05", "publisher": "DirectTrust", "description": "DirectTrust concepts consolidated from seven newly developed CodeSystems. Eleven established CodeSystems remain separate and unchanged. Concepts are organized by a family property; membership is organizational and does not assert an is-a relationship.", "caseSensitive": true, "content": "complete", "count": 38, "property": [ { "code": "family", "description": "Organizational concept family; permitted values are documented in DT_PACKAGE_VERSION_2.md.", "type": "code" } ], "concept": [ { "code": "receive", "display": "Receive", "definition": "Receipt of the target by an actor or managed environment, sufficient for evaluation; does not assert acceptance, import, or service fulfillment.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "register", "display": "Register", "definition": "Registration of the target in a registry, repository, or other managed information environment.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "replace", "display": "Replace", "definition": "Replacement of one target by another; distinct from obsolescence and nullification.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "retrieve", "display": "Retrieve", "definition": "Retrieval of the target from a repository or other managed information environment.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "seal", "display": "Seal", "definition": "Application of a seal or equivalent integrity or authenticity mechanism to the target.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "store", "display": "Store", "definition": "Storage of the target.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "import", "display": "Import", "definition": "Incorporation of the target data or information into a system or managed information environment; distinct from receipt and acceptance.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "append", "display": "Append", "definition": "Addition or addendum to the target without changing existing information.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "sign", "display": "Sign", "definition": "Signing of the target by an identified signer.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "deliver", "display": "Deliver", "definition": "Delivery of the target to its intended delivery destination; does not assert workflow acceptance.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "assemble", "display": "Assemble", "definition": "Assembly of the target from its constituent content and applicable metadata or relationships; the target identifies whether this is a document or transaction package.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "accept", "display": "Accept", "definition": "Acceptance of the target into the intended workflow for the processing specified by the originating transaction. For MAP TX8, the target is the whole originating SubmissionSet/List, including its Task and all included information objects. Receipt sufficient to determine disposition is implied. Does not assert import, clinical review, or fulfillment of downstream services.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "reject", "display": "Reject", "definition": "Rejection of the target from the intended workflow, with an explanation. For MAP TX8, the target is the whole originating SubmissionSet/List, including its Task and all included information objects; no partial acceptance is asserted. Receipt sufficient to determine disposition is implied. Does not assert that every object was individually evaluated.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "notarize", "display": "Notarize", "definition": "Notarization of the signature identified by the target.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "witness", "display": "Witness", "definition": "Witnessing of the signature identified by the target.", "property": [ { "code": "family", "valueCode": "provenance-activity" } ] }, { "code": "witness-agent", "display": "Witness", "definition": "An agent that directly observed the Provenance Activity and can attest that the activity occurred, but did not principally perform the activity.", "property": [ { "code": "family", "valueCode": "provenance-agent-role" } ] }, { "code": "recorder", "display": "Recorder", "definition": "An agent that recorded the assertion that the Provenance Activity occurred, but did not necessarily perform or directly observe the activity.", "property": [ { "code": "family", "valueCode": "provenance-agent-role" } ] }, { "code": "notary", "display": "Notary", "definition": "An agent that participated in the activity in the legally or officially authorized capacity of a notary.", "property": [ { "code": "family", "valueCode": "provenance-agent-role" } ] }, { "code": "send-outpatient-visit-notification", "display": "Send Outpatient Visit Notification", "definition": "Notify about completion of an outpatient encounter.", "property": [ { "code": "family", "valueCode": "transaction-type" } ] }, { "code": "send-admission-notification", "display": "Send Admission Notification", "definition": "Notify about admission or registration.", "property": [ { "code": "family", "valueCode": "transaction-type" } ] }, { "code": "send-birth-notification", "display": "Send Birth Notification", "definition": "Notify designated maternal-health recipients about a birth event using maternal-facing information.", "property": [ { "code": "family", "valueCode": "transaction-type" } ] }, { "code": "send-discharge-notification", "display": "Send Discharge Notification", "definition": "Notify about discharge.", "property": [ { "code": "family", "valueCode": "transaction-type" } ] }, { "code": "send-documents", "display": "Send Documents", "definition": "Send clinical or workflow documents.", "property": [ { "code": "family", "valueCode": "transaction-type" } ] }, { "code": "query-for-documents", "display": "Query for Documents", "definition": "Discover available documents.", "property": [ { "code": "family", "valueCode": "transaction-type" } ] }, { "code": "send-patient-update", "display": "Send Patient Update", "definition": "Communicate updated patient information.", "property": [ { "code": "family", "valueCode": "transaction-type" } ] }, { "code": "send-workflow-status", "display": "Send Workflow Status", "definition": "Report terminal Payload Receipt or Payload Rejection for an originating MaP transaction.", "property": [ { "code": "family", "valueCode": "transaction-type" } ] }, { "code": "add", "display": "Add", "definition": "Add the targeted value to the current patient information.", "property": [ { "code": "family", "valueCode": "patient-change-action" } ] }, { "code": "remove", "display": "Remove the targeted value from the current patient information; preserve audit history. This does not delete the Patient resource.", "property": [ { "code": "family", "valueCode": "patient-change-action" } ] }, { "code": "patient-demographic-identifier-changes", "display": "Patient demographic and identifier changes", "definition": "A TX7 change list describing additions and removals of supported patient demographic and patient identifier values.", "property": [ { "code": "family", "valueCode": "patient-change-list-type" } ] }, { "code": "sender-not-authorized", "display": "Sender not authorized", "definition": "The sending entity is not authorized to initiate the requested workflow activity, and the required authorization prevents processing.", "property": [ { "code": "family", "valueCode": "failure-reason" } ] }, { "code": "unsupported-use-case", "display": "Unsupported use case", "definition": "The recipient does not support the declared use case or requested transaction or lacks the capability required to perform the requested workflow activity.", "property": [ { "code": "family", "valueCode": "failure-reason" } ] }, { "code": "payload-not-processable", "display": "Payload not processable", "definition": "A defect in the package, metadata, required information object, or content, or a processing limitation, prevents performance of the requested workflow activity.", "property": [ { "code": "family", "valueCode": "failure-reason" } ] }, { "code": "patient-not-found", "display": "Patient not found", "definition": "The patient identity required to perform the workflow activity cannot be resolved or established. An unknown patient is not automatically a failure when the transaction permits registration. Patient identifiers must not be manufactured to conceal this condition.", "property": [ { "code": "family", "valueCode": "failure-reason" } ] }, { "code": "context-not-found", "display": "Context not found", "definition": "An established Context required to perform the workflow activity cannot be resolved. Absence of optional Context alone is not a failure. Context identifiers must not be manufactured to conceal this condition.", "property": [ { "code": "family", "valueCode": "failure-reason" } ] }, { "code": "use-case", "display": "Use case", "definition": "Identifies the declared use case for the requested workflow activity. The corresponding Task.input value is a Coding drawn from the applicable use-case terminology, such as DirectTrust ServDescCS.", "property": [ { "code": "family", "valueCode": "task-input-type" } ] }, { "code": "information-recipient", "display": "Information Recipient", "definition": "Identifies the party intended to receive and act on the healthcare communication. The corresponding Task.input value is a Reference to the recipient resource. MAP recipient constraints are defined by the consuming implementation guide.", "property": [ { "code": "family", "valueCode": "task-input-type" } ] }, { "code": "request-workflow-status", "display": "Request successful Workflow Status reporting", "definition": "Indicates whether reporting of successful structured payload acceptance into the intended workflow is requested. The corresponding Workflow Activity Task.input value is a boolean. True requests successful acceptance reporting; false or absence does not suppress failure reporting required by the applicable MAP Transaction Definition and does not request recursive reporting of a send-workflow-status outcome.", "property": [ { "code": "family", "valueCode": "task-input-type" } ] }, { "code": "workflow-status-update-endpoint", "display": "Workflow Status Update Endpoint", "definition": "Identifies an endpoint to which workflow status reports are to be sent. The corresponding Workflow Activity Task.input value is a Reference to a FHIR Endpoint resource. Endpoint eligibility, cardinality, routing and reporting obligations are governed by the applicable MAP requirements; this is distinct from Direct transport delivery notifications.", "property": [ { "code": "family", "valueCode": "task-input-type" } ] } ], "identifier": [ { "system": "urn:ietf:rfc:3986", "value": "urn:oid:1.3.6.1.4.1.41179.4.1.1" } ] }