GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

Valueset-nhin-purposeofuse.xml

Raw XML (canonical form)

NHIN Purpose of Use (id = "nhin-purposeofuse")

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="nhin-purposeofuse"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>NHIN PurposeOfUse</h2>
      <p>This value set is suitable for use with the provenance resource. It is derived from, but
         not compatible with, the HL7 v3 Purpose of use Code system.</p>
      <p>This value set has an inline code system http://healthit.gov/nhin/purposeofuse, which
         defines the following codes:</p>
      <table class="codes">
        <tr>
          <td>
            <b>Code</b>
          </td>
          <td>
            <b>Display</b>
          </td>
          <td>
            <b>Definition</b>
          </td>
          <td>
            <b>
              <a href="v3\PurposeOfUse\index.html">NHIN / V3 Mapping</a>
            </b>
          </td>
        </tr>
        <tr>
          <td>TREATMENT
            <a name="TREATMENT"> </a>
          </td>
          <td>Treatment</td>
          <td>Treatment</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-TREAT">TREAT</a>
          </td>
        </tr>
        <tr>
          <td>PAYMENT
            <a name="PAYMENT"> </a>
          </td>
          <td>Payment</td>
          <td>Payment</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HPAYMT">HPAYMT</a>
          </td>
        </tr>
        <tr>
          <td>OPERATIONS
            <a name="OPERATIONS"> </a>
          </td>
          <td>Operations</td>
          <td>Healthcare Operations</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HOPERAT">HOPERAT</a>
          </td>
        </tr>
        <tr>
          <td>SYSADMIN
            <a name="SYSADMIN"> </a>
          </td>
          <td>Sysadmin</td>
          <td>System Administration</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-SYSADMIN">SYSADMIN</a>
          </td>
        </tr>
        <tr>
          <td>FRAUD
            <a name="FRAUD"> </a>
          </td>
          <td>Fraud</td>
          <td>Fraud detection</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-FRAUD">FRAUD</a>
          </td>
        </tr>
        <tr>
          <td>PSYCHOTHERAPY
            <a name="PSYCHOTHERAPY"> </a>
          </td>
          <td>Psychotherapy</td>
          <td>Use or disclosure of Psychotherapy Notes</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-PSYCHOTHERAPY">PSYCHOTHERAPY</a>
          </td>
        </tr>
        <tr>
          <td>TRAINING
            <a name="TRAINING"> </a>
          </td>
          <td>Training</td>
          <td>Use or disclosure by the covered entity for its own training programs</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-TRAINING">TRAINING</a>
          </td>
        </tr>
        <tr>
          <td>LEGAL
            <a name="LEGAL"> </a>
          </td>
          <td>Legal</td>
          <td>Use or disclosure by the covered entity to defend itself in a legal action</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL">HLEGAL</a>
          </td>
        </tr>
        <tr>
          <td>MARKETING
            <a name="MARKETING"> </a>
          </td>
          <td>Marketing</td>
          <td>Marketing</td>
          <td>
            <span title="narrower">&gt;</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HMARKT">HMARKT</a>
            <i>(Not clear how much difference there is between 'marketing' and 'healthcare marketing')</i>
          </td>
        </tr>
        <tr>
          <td>DIRECTORY
            <a name="DIRECTORY"> </a>
          </td>
          <td>Directory</td>
          <td>Use and disclosure for facility directories</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HDIRECT">HDIRECT</a>
          </td>
        </tr>
        <tr>
          <td>FAMILY
            <a name="FAMILY"> </a>
          </td>
          <td>Family</td>
          <td>Disclose to a family member, other relative, or a close personal friend of the individual</td>
          <td/>
        </tr>
        <tr>
          <td>PRESENT
            <a name="PRESENT"> </a>
          </td>
          <td>Present</td>
          <td>Uses and disclosures with the individual present.</td>
          <td/>
        </tr>
        <tr>
          <td>EMERGENCY
            <a name="EMERGENCY"> </a>
          </td>
          <td>Emergency</td>
          <td>Permission cannot practicably be provided because of the individual's incapacity or an
             emergency.</td>
          <td/>
        </tr>
        <tr>
          <td>DISASTER
            <a name="DISASTER"> </a>
          </td>
          <td>Disaster</td>
          <td>Use and disclosures for disaster relief purposes.</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-DISASTER">DISASTER</a>
          </td>
        </tr>
        <tr>
          <td>PUBLICHEALTH
            <a name="PUBLICHEALTH"> </a>
          </td>
          <td>Public Health</td>
          <td>Uses and disclosures for public health activities.</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-PUBHLTH">PUBHLTH</a>
          </td>
        </tr>
        <tr>
          <td>ABUSE
            <a name="ABUSE"> </a>
          </td>
          <td>Abuse</td>
          <td>Disclosures about victims of abuse, neglect or domestic violence.</td>
          <td/>
        </tr>
        <tr>
          <td>OVERSIGHT
            <a name="OVERSIGHT"> </a>
          </td>
          <td>Oversight</td>
          <td>Uses and disclosures for health oversight activities.</td>
          <td/>
        </tr>
        <tr>
          <td>JUDICIAL
            <a name="JUDICIAL"> </a>
          </td>
          <td>Judicial</td>
          <td>Disclosures for judicial and administrative proceedings.</td>
          <td>
            <span title="wider">&lt;</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL">HLEGAL</a>
          </td>
        </tr>
        <tr>
          <td>LAW
            <a name="LAW"> </a>
          </td>
          <td>Law Enforcement</td>
          <td>Disclosures for law enforcement purposes.</td>
          <td>
            <span title="wider">&lt;</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL">HLEGAL</a>
          </td>
        </tr>
        <tr>
          <td>DECEASED
            <a name="DECEASED"> </a>
          </td>
          <td>Deceased</td>
          <td>Uses and disclosures about decedents.</td>
          <td/>
        </tr>
        <tr>
          <td>DONATION
            <a name="DONATION"> </a>
          </td>
          <td>Donation</td>
          <td>Uses and disclosures for cadaveric organ,  eye or tissue donation purposes</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-DONAT">DONAT</a>
          </td>
        </tr>
        <tr>
          <td>RESEARCH
            <a name="RESEARCH"> </a>
          </td>
          <td>Research</td>
          <td>Uses and disclosures for research purposes.</td>
          <td>
            <span title="narrower">&gt;</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HRESCH">HRESCH</a>
            <i>(Not clear how much difference there is between 'research' and 'healthcare research')</i>
          </td>
        </tr>
        <tr>
          <td>THREAT
            <a name="THREAT"> </a>
          </td>
          <td>Threat</td>
          <td>Uses and disclosures to avert a serious threat to health or safety.</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-THREAT">THREAT</a>
          </td>
        </tr>
        <tr>
          <td>GOVERNMENT
            <a name="GOVERNMENT"> </a>
          </td>
          <td>Government</td>
          <td>Uses and disclosures for specialized government functions.</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-GOV">GOV</a>
          </td>
        </tr>
        <tr>
          <td>WORKERSCOMP
            <a name="WORKERSCOMP"> </a>
          </td>
          <td>Worker's Comp</td>
          <td>Disclosures for workers' compensation.</td>
          <td/>
        </tr>
        <tr>
          <td>COVERAGE
            <a name="COVERAGE"> </a>
          </td>
          <td>Coverage</td>
          <td>Disclosures for insurance or disability coverage determination</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-OVAUTH">OVAUTH</a>
          </td>
        </tr>
        <tr>
          <td>REQUEST
            <a name="REQUEST"> </a>
          </td>
          <td>Request</td>
          <td>Request of the Individual</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-PATRQT">PATRQT</a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <contained>
    <ConceptMap>
      <id value="map"/>
      <name value="NHIN / V3 Mapping"/>
      <status value="draft"/>
      <sourceReference>
        <reference value="http://hl7.org/fhir/ValueSet/nhin-purposeofuse"/>
      </sourceReference>
      <targetReference>
        <reference value="http://hl7.org/fhir/ValueSet/v3-PurposeOfUse"/>
      </targetReference>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="TREATMENT"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="TREAT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="PAYMENT"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HPAYMT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="OPERATIONS"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HOPERAT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="SYSADMIN"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="SYSADMIN"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="FRAUD"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="FRAUD"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="PSYCHOTHERAPY"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="PSYCHOTHERAPY"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="TRAINING"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="TRAINING"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="LEGAL"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HLEGAL"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="MARKETING"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HMARKT"/>
          <equivalence value="narrower"/>
          <comments value="Not clear how much difference there is between 'marketing' and 'healthcare marketing'"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="DIRECTORY"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HDIRECT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="DISASTER"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="DISASTER"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="PUBLICHEALTH"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="PUBHLTH"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="JUDICIAL"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HLEGAL"/>
          <equivalence value="wider"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="LAW"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HLEGAL"/>
          <equivalence value="wider"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="DONATION"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="DONAT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="RESEARCH"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HRESCH"/>
          <equivalence value="narrower"/>
          <comments value="Not clear how much difference there is between 'research' and 'healthcare research'"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="THREAT"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="THREAT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="GOVERNMENT"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="GOV"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="COVERAGE"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="OVAUTH"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="REQUEST"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="PATRQT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
    </ConceptMap>
  </contained>
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-map">
    <valueReference>
      <reference value="#map"/>
    </valueReference>
  </extension>
<!--       set of loinc codes for cholesterol for LONC 2.36       -->
  <url value="http://hl7.org/fhir/ValueSet/nhin-purposeofuse"/>
  <version value="2.0"/>
  <name value="NHIN PurposeOfUse"/>
  <status value="active"/>
  <experimental value="false"/>
  <publisher value="Nationwide Health Information Network (NHIN)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="https://www.healthit.gov/sites/default/files/nhin-authorization-framework-production-specification-v
      2.0-1.pdf"/>
    </telecom>
  </contact>
  <date value="2010-01-29"/>
  <description value="This value set is suitable for use with the provenance resource. It is derived from, but
   not compatible with, the HL7 v3 Purpose of use Code system."/>
  <codeSystem>
    <system value="http://healthit.gov/nhin/purposeofuse"/>
    <version value="2.0"/>
    <caseSensitive value="true"/>
    <concept>
      <code value="TREATMENT"/>
      <display value="Treatment"/>
      <definition value="Treatment"/>
    </concept>
    <concept>
      <code value="PAYMENT"/>
      <display value="Payment"/>
      <definition value="Payment"/>
    </concept>
    <concept>
      <code value="OPERATIONS"/>
      <display value="Operations"/>
      <definition value="Healthcare Operations"/>
    </concept>
    <concept>
      <code value="SYSADMIN"/>
      <display value="Sysadmin"/>
      <definition value="System Administration"/>
    </concept>
    <concept>
      <code value="FRAUD"/>
      <display value="Fraud"/>
      <definition value="Fraud detection"/>
    </concept>
    <concept>
      <code value="PSYCHOTHERAPY"/>
      <display value="Psychotherapy"/>
      <definition value="Use or disclosure of Psychotherapy Notes"/>
    </concept>
    <concept>
      <code value="TRAINING"/>
      <display value="Training"/>
      <definition value="Use or disclosure by the covered entity for its own training programs"/>
    </concept>
    <concept>
      <code value="LEGAL"/>
      <display value="Legal"/>
      <definition value="Use or disclosure by the covered entity to defend itself in a legal action"/>
    </concept>
    <concept>
      <code value="MARKETING"/>
      <display value="Marketing"/>
      <definition value="Marketing"/>
    </concept>
    <concept>
      <code value="DIRECTORY"/>
      <display value="Directory"/>
      <definition value="Use and disclosure for facility directories"/>
    </concept>
    <concept>
      <code value="FAMILY"/>
      <display value="Family"/>
      <definition value="Disclose to a family member, other relative, or a close personal friend of the individual"/>
    </concept>
    <concept>
      <code value="PRESENT"/>
      <display value="Present"/>
      <definition value="Uses and disclosures with the individual present."/>
    </concept>
    <concept>
      <code value="EMERGENCY"/>
      <display value="Emergency"/>
      <definition value="Permission cannot practicably be provided because of the individual's incapacity or an
       emergency."/>
    </concept>
    <concept>
      <code value="DISASTER"/>
      <display value="Disaster"/>
      <definition value="Use and disclosures for disaster relief purposes."/>
    </concept>
    <concept>
      <code value="PUBLICHEALTH"/>
      <display value="Public Health"/>
      <definition value="Uses and disclosures for public health activities."/>
    </concept>
    <concept>
      <code value="ABUSE"/>
      <display value="Abuse"/>
      <definition value="Disclosures about victims of abuse, neglect or domestic violence."/>
    </concept>
    <concept>
      <code value="OVERSIGHT"/>
      <display value="Oversight"/>
      <definition value="Uses and disclosures for health oversight activities."/>
    </concept>
    <concept>
      <code value="JUDICIAL"/>
      <display value="Judicial"/>
      <definition value="Disclosures for judicial and administrative proceedings."/>
    </concept>
    <concept>
      <code value="LAW"/>
      <display value="Law Enforcement"/>
      <definition value="Disclosures for law enforcement purposes."/>
    </concept>
    <concept>
      <code value="DECEASED"/>
      <display value="Deceased"/>
      <definition value="Uses and disclosures about decedents."/>
    </concept>
    <concept>
      <code value="DONATION"/>
      <display value="Donation"/>
      <definition value="Uses and disclosures for cadaveric organ,  eye or tissue donation purposes"/>
    </concept>
    <concept>
      <code value="RESEARCH"/>
      <display value="Research"/>
      <definition value="Uses and disclosures for research purposes."/>
    </concept>
    <concept>
      <code value="THREAT"/>
      <display value="Threat"/>
      <definition value="Uses and disclosures to avert a serious threat to health or safety."/>
    </concept>
    <concept>
      <code value="GOVERNMENT"/>
      <display value="Government"/>
      <definition value="Uses and disclosures for specialized government functions."/>
    </concept>
    <concept>
      <code value="WORKERSCOMP"/>
      <display value="Worker's Comp"/>
      <definition value="Disclosures for workers' compensation."/>
    </concept>
    <concept>
      <code value="COVERAGE"/>
      <display value="Coverage"/>
      <definition value="Disclosures for insurance or disability coverage determination"/>
    </concept>
    <concept>
      <code value="REQUEST"/>
      <display value="Request"/>
      <definition value="Request of the Individual"/>
    </concept>
  </codeSystem>
</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.