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Definition
 
enEnglish
Has_anatomical_coordinate relation definition: Adjacent_to relation which holds between each physical anatomical entity in type A and some anatomical plane, line or point.
Has_member relation definition: Has_part relation which holds between each anatomical set and any of its elements.
Has_organizational pattern definition: Structural relation which holds between an anatomical structure and some organizational pattern.
Has_segmental_innervation relation definition: Structural relation which holds between an anatomical structure and some segment of the spinal cord.
Has_part relation definition: Structural anatomical relation which holds between each entity of type A and some anatomical entity of the same dimension of type B such that if A has_part B, there is a complement C which together with B accounts for the whole (100%) of A.
has component definition: A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently.
has pre-condition definition: 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.
has trigger definition:

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.

has contra-indication definition: 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.
has outcome definition: 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.
has goal definition: 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.
has final objective definition: 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.
has continuing objective definition: 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.
has risk definition: 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.
has pertinent information definition: 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.
has reference values definition: 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.
has option definition: 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.
has generalization definition: 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).
has generalization definition: Relates a specialized material concept (player) to its generalization (scoper).
has generic definition: A special link between pharmaceuticals indicating that the target (scoper) is a generic for the source (player).
has subject definition:

Relates an Act to its subject Act that the first Act is primarily concerned with.

Examples

  1. The first Act may be a ControlAct manipulating the subject Act
  2. The first act is a region of interest (ROI) that defines a region within the subject Act.
  3. 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.

Previous instance definition: 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.
has previous instance definition: 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.
has subtype definition: Target concept is a subtype / subclass or the source (or the target concept implies the source
has part definition: The target concept is a part or portion of the source concept.
has part definition: The target Role is part of the Source Role.
has direct authority over definition: The source Role has direct authority over the target role in a chain of authority.
has indirect authority over definition: The source Role has indirect authority over the target role in a chain of authority.
has debit definition: 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.
has credit definition: 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.
has cost definition: 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.
has charge definition: 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.
has bounded support definition: 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.
has control variable definition: 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.
has explanation definition: This is the inversion of support. Used to indicate that a given observation is explained by another observation or condition.
has reason definition:

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.

has support definition: 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).
Allele_Has_Abnormality definition: This is a specializing role which may be used to override Gene_Has_Abnormality that has been asserted for the gene class. This role is used to establish a link between a specific allele and genetic or molecular abnormalities that have been observed in human cells and tissues associated with cancer or another disease of interest. The domain and range kind for this role are Gene_Kind and Molecular_Abnormality_Kind, respectively.
Allele_Has_Activity definition: This role asserts the observed level of activity associated with an allele in a given biological process, compared to the wild-type gene. The domain and range kind for this role are Gene_Kind and Properties_or_Attributes Kind, respectively.
Anatomic_Structure_Has_Location definition: Intended to be used to indicate the physical location of an anatomic structure in the body. Both domain and range for this role are Anatomy_Kind.
Chemotherapy_Regimen_Has_Component definition: This role specifies the component agents which are used in a particular chemotherapy regimen. The domain and the range for this role are Chemotherapy_Regimen_Kind and Chemicals_and_Drugs_Kind, respectively.
Disease_Has_Abnormal_Cell definition: Disease_Has_Abnormal_Cell is a defining role used to relate the concept of the disease to the type of neoplastic cell present in and characteristic of the disease. The domain of the disease concept is the Findings_and_Disorders_Kind, the range of which is Abnormal_Cell_Kind. The value domain within the range is the Neoplastic_Cell subset.
Disease_Has_Associated_Disease definition: Disease_Has_Associated_Disease is a non-defining role used to relate the concept of the disease to another disease or disorder, but without specification or limitation of the relationship (causality or timing for example). The domain and range of the disease concept is the Findings_and_Disorders_Kind. The value domain consists of the Diseases and Disorders subset within the Findings_and_Disorders_Kind.
Disease_Has_Cytogenetic_Abnormality definition: Disease_Has_Cytogenetic_Abnormality is a non-defining role used to relate the concept of the disease to the type of chromosomal abnormality present in the specified disease state. The domain of the disease concept is the Findings_and_Disorders_Kind, the range of which is the Molecular_Abnormality_Kind. The value domain within the range is the Cytogenic Abnormality subset.
Disease_Has_Finding definition: Disease_Has_Finding is a defining role used to relate the concept of the disease to a clinical observation, sign or symptom present in and characteristic of the disease. The domain and range of the disease concept is the Findings_and_Disorders_Kind. The value domain consists of all concepts within the Findings_and_Disorders_Kind.
Gene_Has_Abnormality definition: This role is used to establish a link between a gene and the genetic or molecular abnormalities that have been observed in human cells and tissues associated with cancers. The gene involved, could be over- or under-expressed, amplified, translocated, etc. to cause these abnormalities. The domain and range kind for this role are Gene_Kind and Molecular_Abnormality_Kind, respectively.
Gene_Has_Physical_Location definition: The role is used to link the gene with its actual physical extent on a chromosome, denoted by the chromosome number and start and end base positions (with numbering beginning at the telomere of the short p arm). The domain and range kind for this role are Gene_Kind and Anatomy_Kind, respectively.
Gene_Product_Has_Abnormality definition: This role is used to establish a link between a gene product and the molecular abnormalities that are observed in human cells and tissues in association with diseases such as cancers, for example over or under-expression of gene product. The domain and range kind for this role are Gene_Product_Kind and Molecular_Abnormality_Kind, respectively.
Has_Salt_Form definition: Used to associate a drug with its various salt forms.
Has_Target definition: Connects a drug or other agent to a clinically intended, molecular-scale target. The target value may be a gene, gene product, anatomic structure, biological process, or other concept, where the effect of the agent on the target is thought to be of therapeutic, diagnostic, or other clinical relevance to a disease process. The effect is most often direct, as defined at a molecular scale, but may also be indirect and/or defined at a larger scale.
Disease_Has_Molecular_Abnormality definition: Disease_Has_Molecular_Abnormality is a non-defining role used to relate the concept of the disease to the type of Molecular Abnormality present in the specified disease state. The domain of the disease concept is the Findings_and_Disorders_Kind, the range of which is the Molecular_Abnormality_Kind. The value domain consists of all concepts within the Molecular_Abnormality_Kind.
Tingling definition: A sensation as of repetitive pin pricks, caused by cold or by striking a nerve, or as a result of various diseases of the central or peripheral nervous system.
Tingling definition: A sensation as of repetitive pin pricks, caused by cold or by striking a nerve, or as a result of various diseases of the central or peripheral nervous system.
Has_generic_part relation definition: Has_part relation which generalizes to all specifications of the part relation.
Has_regional_part relation definition: Has_part relation which holds between each maximally connected anatomical structure and its part demarcated from the complement by a predominantly fiat boundary.
Has_shape relation definition: Structural anatomical relation which associates an anatomical entity with some geometric shape.
Has_constitutional_part relation definition: Has_part relation which holds between each maximally connected anatomical structure and its compositionally distinct anatomical element demarcated from the complement by a predominantly bona fide boundary.
Has_dimension relation definition: Anatomical relation which associates an anatomical entity with the number of its spatial dimension.
has-been definition: Has-been.
 
 
deGerman
vormalig definition: [1] der Vergangenheit angehörend, nicht mehr bestehend
 
frFrench
abdomen definition: Cavité viscérale circonscrite en haut par le diaphragme, en bas par le bassin, en arrière par les vertèbres lombaires et en avant par des aponévroses et des muscles.
abdomen definition: Partie inférieure de certaines invertébrés.
ventre definition: Abdomen, intestin, estomac.
ventre definition: Dans un muscle, corps épais, rouge et contractile aux deux extrémités duquel on trouve les parties tendineuses.
ventre definition: Point où l’amplitude de l’onde stationnaire est maximale.
hassium definition: Élément chimique de numéro atomique 108 et de symbole '''Hs'''.
hassium definition: Métal pur de cet élément.
has-been definition: Personne qui a été célèbre et qui est passée de mode.
 
kwCornish
has definition: Graines.
 
huHungarian
has definition: Ventre, abdomen.
alhas definition: Abdomen.