Sequoia Project Healthcare Directory Implementation Guide
1.10.0 - Release 1

: RCE Purpose - JSON Representation

Active as of 2026-01-20

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{
  "resourceType" : "CodeSystem",
  "id" : "RCE-Purpose",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem RCE-Purpose</b></p><a name=\"RCE-Purpose\"> </a><a name=\"hcRCE-Purpose\"> </a><p>This case-sensitive code system <code>https://sequoiaproject.org/fhir/sphd/CodeSystem/RCE-Purpose</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">T-TREAT<a name=\"RCE-Purpose-T-TREAT\"> </a></td><td>Treatment</td></tr><tr><td style=\"white-space:nowrap\">T-TRTMNT<a name=\"RCE-Purpose-T-TRTMNT\"> </a></td><td>TEFCA Required Treatment</td></tr><tr><td style=\"white-space:nowrap\">T-PYMNT<a name=\"RCE-Purpose-T-PYMNT\"> </a></td><td>Payment</td></tr><tr><td style=\"white-space:nowrap\">T-HCO<a name=\"RCE-Purpose-T-HCO\"> </a></td><td>Health Care Operations</td></tr><tr><td style=\"white-space:nowrap\">T-HCO-CC<a name=\"RCE-Purpose-T-HCO-CC\"> </a></td><td>Care Coordination/Case Management</td></tr><tr><td style=\"white-space:nowrap\">T-HCO-HED<a name=\"RCE-Purpose-T-HCO-HED\"> </a></td><td>HEDIS Reporting</td></tr><tr><td style=\"white-space:nowrap\">T-HCO-QAI<a name=\"RCE-Purpose-T-HCO-QAI\"> </a></td><td>Quality Assessment and Improvement</td></tr><tr><td style=\"white-space:nowrap\">T-HCO-POP<a name=\"RCE-Purpose-T-HCO-POP\"> </a></td><td>Population-Based</td></tr><tr><td style=\"white-space:nowrap\">T-HCO-PTSAFETY<a name=\"RCE-Purpose-T-HCO-PTSAFETY\"> </a></td><td>Patient Safety</td></tr><tr><td style=\"white-space:nowrap\">T-HCO-PERF<a name=\"RCE-Purpose-T-HCO-PERF\"> </a></td><td>Performance Review</td></tr><tr><td style=\"white-space:nowrap\">T-PH<a name=\"RCE-Purpose-T-PH\"> </a></td><td>Public Health</td></tr><tr><td style=\"white-space:nowrap\">T-PH-ECR<a name=\"RCE-Purpose-T-PH-ECR\"> </a></td><td>Electronic Case Reporting</td></tr><tr><td style=\"white-space:nowrap\">T-PH-ELR<a name=\"RCE-Purpose-T-PH-ELR\"> </a></td><td>Electronic Lab Reporting</td></tr><tr><td style=\"white-space:nowrap\">T-IAS<a name=\"RCE-Purpose-T-IAS\"> </a></td><td>Individual Access Services</td></tr><tr><td style=\"white-space:nowrap\">T-GOVDTRM<a name=\"RCE-Purpose-T-GOVDTRM\"> </a></td><td>Government Benefits Determination</td></tr><tr><td style=\"white-space:nowrap\">T-GOVDTRM-SSD<a name=\"RCE-Purpose-T-GOVDTRM-SSD\"> </a></td><td>Social Security Determination</td></tr><tr><td style=\"white-space:nowrap\">T-GOVDTRM-ACP<a name=\"RCE-Purpose-T-GOVDTRM-ACP\"> </a></td><td>GBD Access Consent Policy</td></tr></table></div>"
  },
  "url" : "https://sequoiaproject.org/fhir/sphd/CodeSystem/RCE-Purpose",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.3.7204.1.5.2.1"
    }
  ],
  "version" : "1.10.0",
  "name" : "RCEPurpose",
  "title" : "RCE Purpose",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-01-20T10:58:32-05:00",
  "publisher" : "The Sequoia Project",
  "contact" : [
    {
      "name" : "The Sequoia Project",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://sequoiaproject.org/"
        }
      ]
    }
  ],
  "description" : "Codes used for the RCE implementation of the PurposesOfUse extension. Each code is used as defined in the Common Agreement, QHIN Technical Framework, Exchange Purposes SOP, and any other applicable Exchange Purpose Implementation SOP.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 17,
  "concept" : [
    {
      "code" : "T-TREAT",
      "display" : "Treatment"
    },
    {
      "code" : "T-TRTMNT",
      "display" : "TEFCA Required Treatment"
    },
    {
      "code" : "T-PYMNT",
      "display" : "Payment"
    },
    {
      "code" : "T-HCO",
      "display" : "Health Care Operations"
    },
    {
      "code" : "T-HCO-CC",
      "display" : "Care Coordination/Case Management"
    },
    {
      "code" : "T-HCO-HED",
      "display" : "HEDIS Reporting"
    },
    {
      "code" : "T-HCO-QAI",
      "display" : "Quality Assessment and Improvement"
    },
    {
      "code" : "T-HCO-POP",
      "display" : "Population-Based"
    },
    {
      "code" : "T-HCO-PTSAFETY",
      "display" : "Patient Safety"
    },
    {
      "code" : "T-HCO-PERF",
      "display" : "Performance Review"
    },
    {
      "code" : "T-PH",
      "display" : "Public Health"
    },
    {
      "code" : "T-PH-ECR",
      "display" : "Electronic Case Reporting"
    },
    {
      "code" : "T-PH-ELR",
      "display" : "Electronic Lab Reporting"
    },
    {
      "code" : "T-IAS",
      "display" : "Individual Access Services"
    },
    {
      "code" : "T-GOVDTRM",
      "display" : "Government Benefits Determination"
    },
    {
      "code" : "T-GOVDTRM-SSD",
      "display" : "Social Security Determination"
    },
    {
      "code" : "T-GOVDTRM-ACP",
      "display" : "GBD Access Consent Policy"
    }
  ]
}