STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions

Ccda\valueset-2.16.840.1.113883.1.11.16926.xml

Raw XML (canonical form)

Definition for Value SetHL7 BasicConfidentialityKind

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="2.16.840.1.113883.1.11.16926"/>
  <meta>
    <lastUpdated value="2016-03-31T08:01:25.570+11:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>HL7 BasicConfidentialityKind</h2>
      <p>A value set of HL7 Code indication the level of confidentiality an act.</p>
      <p>This value set includes codes from the following code systems:</p>
      <ul>
        <li>Include these codes as defined in 
          <a href="../v3/Confidentiality/cs.html">http://hl7.org/fhir/v3/Confidentiality</a>
          <table>
            <tr>
              <td>
                <b>Code</b>
              </td>
              <td>
                <b>Display</b>
              </td>
            </tr>
            <tr>
              <td>N</td>
              <td>normal</td>
              <td>Definition: Privacy metadata indicating that the information is typical, non-stigmatizing
                 health information, which presents typical risk of harm if disclosed without authorization.
                <br/>
                        
                           Examples: In the US, this includes what HIPAA identifies as
                 the minimum necessary protected health information (PHI) given a covered purpose of use
                 (treatment, payment, or operations).  Includes typical, non-stigmatizing health information
                 disclosed in an application for health, workers compensation, disability, or life insurance.
                <br/>
                        
                           Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical
                 Care:   Default for normal clinical care access (i.e. most clinical staff directly caring
                 for the patient should be able to access nearly all of the EHR).   Maps to normal confidentiality
                 for treatment information but not to ancillary care, payment and operations.
                <br/>
                        
                           Usage Note: This metadata indicates that the receiver may be
                 obligated to comply with applicable jurisdictional privacy law or disclosure authorization.
              </td>
            </tr>
            <tr>
              <td>R</td>
              <td>restricted</td>
              <td>Privacy metadata indicating highly sensitive, potentially stigmatizing information, which
                 presents a high risk to the information subject if disclosed without authorization. May
                 be pre-empted by jurisdictional law, e.g., for public health reporting or emergency treatment.
                <br/>
                        
                           Examples: Includes information that is additionally protected
                 such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child
                 abuse, genetic disease, and reproductive health; or sensitive demographic information
                 such as a patient's standing as an employee or a celebrity. May be used to indicate proprietary
                 or classified information that is not related to an individual, e.g., secret ingredients
                 in a therapeutic substance; or the name of a manufacturer.
                <br/>
                        
                           Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical
                 Care: Default for normal clinical care access (i.e. most clinical staff directly caring
                 for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality
                 for treatment information but not to ancillary care, payment and operations..
                <br/>
                        
                           Usage Note: This metadata indicates that the receiver may be
                 obligated to comply with applicable, prevailing (default) jurisdictional privacy law or
                 disclosure authorization..
              </td>
            </tr>
            <tr>
              <td>V</td>
              <td>very restricted</td>
              <td>. Privacy metadata indicating that the information is extremely sensitive and likely stigmatizing
                 health information that presents a very high risk if disclosed without authorization.
                  This information must be kept in the highest confidence.  
                <br/>
                        
                           Examples:  Includes information about a victim of abuse, patient
                 requested information sensitivity, and taboo subjects relating to health status that must
                 be discussed with the patient by an attending provider before sharing with the patient.
                  May also include information held under “legal lock� or attorney-client privilege
                <br/>
                        
                           Map:  This metadata indicates that the receiver may not disclose
                 this information except as directed by the information custodian, who may be the information
                 subject.
                <br/>
                        
                           Usage Note:  This metadata indicates that the receiver may
                 not disclose this information except as directed by the information custodian, who may
                 be the information subject.
              </td>
            </tr>
          </table>
        </li>
      </ul>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ValueSet/2.16.840.1.113883.1.11.16926"/>
  <name value="HL7 BasicConfidentialityKind"/>
  <status value="active"/>
  <description value="A value set of HL7 Code indication the level of confidentiality an act."/>
  <compose>
    <include>
      <system value="http://hl7.org/fhir/v3/Confidentiality"/>
      <concept>
        <code value="N"/>
      </concept>
      <concept>
        <code value="R"/>
      </concept>
      <concept>
        <code value="V"/>
      </concept>
    </include>
  </compose>
</ValueSet>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.