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NHIN Purpose of Use
{ "resourceType": "ValueSet", "id": "nhin-purposeofuse", "text": { "status": "generated", "div": "<div>\n <h2>NHIN PurposeOfUse</h2>\n <p>This value set is suitable for use with the provenance resource. It is derived from, but not compatible with, the V3 Purpose of use Code system</p>\n <p>This value set has an inline code system http://healthit.gov/nhin/purposeofuse, which defines the following codes:</p>\n <table class=\"codes\">\n <tr>\n <td>\n <b>Code</b>\n </td>\n <td>\n <b>Display</b>\n </td>\n <td>\n <b>Definition</b>\n </td>\n <td>\n <b>\n <a href=\"v3\\PurposeOfUse\\index.html\">NHIN / V3 Mapping</a>\n </b>\n </td>\n </tr>\n <tr>\n <td>TREATMENT\n <a name=\"TREATMENT\"> </a>\n </td>\n <td>Treatment</td>\n <td>Treatment</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-TREAT\">TREAT</a>\n </td>\n </tr>\n <tr>\n <td>PAYMENT\n <a name=\"PAYMENT\"> </a>\n </td>\n <td>Payment</td>\n <td>Payment</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HPAYMT\">HPAYMT</a>\n </td>\n </tr>\n <tr>\n <td>OPERATIONS\n <a name=\"OPERATIONS\"> </a>\n </td>\n <td>Operations</td>\n <td>Healthcare Operations</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HOPERAT\">HOPERAT</a>\n </td>\n </tr>\n <tr>\n <td>SYSADMIN\n <a name=\"SYSADMIN\"> </a>\n </td>\n <td>Sysadmin</td>\n <td>System Administration</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-SYSADMIN\">SYSADMIN</a>\n </td>\n </tr>\n <tr>\n <td>FRAUD\n <a name=\"FRAUD\"> </a>\n </td>\n <td>Fraud</td>\n <td>Fraud detection</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-FRAUD\">FRAUD</a>\n </td>\n </tr>\n <tr>\n <td>PSYCHOTHERAPY\n <a name=\"PSYCHOTHERAPY\"> </a>\n </td>\n <td>Psychotherapy</td>\n <td>Use or disclosure of Psychotherapy Notes</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-PSYCHOTHERAPY\">PSYCHOTHERAPY</a>\n </td>\n </tr>\n <tr>\n <td>TRAINING\n <a name=\"TRAINING\"> </a>\n </td>\n <td>Training</td>\n <td>Use or disclosure by the covered entity for its own training programs</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-TRAINING\">TRAINING</a>\n </td>\n </tr>\n <tr>\n <td>LEGAL\n <a name=\"LEGAL\"> </a>\n </td>\n <td>Legal</td>\n <td>Use or disclosure by the covered entity to defend itself in a legal action</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL\">HLEGAL</a>\n </td>\n </tr>\n <tr>\n <td>MARKETING\n <a name=\"MARKETING\"> </a>\n </td>\n <td>Marketing</td>\n <td>Marketing</td>\n <td>\n <span title=\"narrower\">></span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HMARKT\">HMARKT</a>\n <i>(Not clear how much difference there is between 'marketing' and 'healthcare marketing')</i>\n </td>\n </tr>\n <tr>\n <td>DIRECTORY\n <a name=\"DIRECTORY\"> </a>\n </td>\n <td>Directory</td>\n <td>Use and disclosure for facility directories</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HDIRECT\">HDIRECT</a>\n </td>\n </tr>\n <tr>\n <td>FAMILY\n <a name=\"FAMILY\"> </a>\n </td>\n <td>Family</td>\n <td>Disclose to a family member, other relative, or a close personal friend of the individua</td>\n <td/>\n </tr>\n <tr>\n <td>PRESENT\n <a name=\"PRESENT\"> </a>\n </td>\n <td>Prsent</td>\n <td>Uses and disclosures with the individual present.</td>\n <td/>\n </tr>\n <tr>\n <td>EMERGENCY\n <a name=\"EMERGENCY\"> </a>\n </td>\n <td>Emergency</td>\n <td>ermission cannot practicably be provided because of the individual’s incapacity or an emergenc</td>\n <td/>\n </tr>\n <tr>\n <td>DISASTER\n <a name=\"DISASTER\"> </a>\n </td>\n <td>Disaster</td>\n <td>Use and disclosures for disaster relief purposes.</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-DISASTER\">DISASTER</a>\n </td>\n </tr>\n <tr>\n <td>PUBLICHEALTH\n <a name=\"PUBLICHEALTH\"> </a>\n </td>\n <td>Public Health</td>\n <td>Uses and disclosures for public health activities.</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-PUBHLTH\">PUBHLTH</a>\n </td>\n </tr>\n <tr>\n <td>ABUSE\n <a name=\"ABUSE\"> </a>\n </td>\n <td>Abuse</td>\n <td>Disclosures about victims of abus</td>\n <td/>\n </tr>\n <tr>\n <td>OVERSIGHT\n <a name=\"OVERSIGHT\"> </a>\n </td>\n <td>Oversight</td>\n <td>Uses and disclosures for health oversight activities.</td>\n <td/>\n </tr>\n <tr>\n <td>JUDICIAL\n <a name=\"JUDICIAL\"> </a>\n </td>\n <td>Judicial</td>\n <td>Disclosures for judicial and administrative proceedings.</td>\n <td>\n <span title=\"wider\"><</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL\">HLEGAL</a>\n </td>\n </tr>\n <tr>\n <td>LAW\n <a name=\"LAW\"> </a>\n </td>\n <td>Law Enforcement</td>\n <td>Disclosures for law enforcement purposes.</td>\n <td>\n <span title=\"wider\"><</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL\">HLEGAL</a>\n </td>\n </tr>\n <tr>\n <td>DECEASED\n <a name=\"DECEASED\"> </a>\n </td>\n <td>Deceased</td>\n <td>Uses and disclosures about decedents.</td>\n <td/>\n </tr>\n <tr>\n <td>DONATION\n <a name=\"DONATION\"> </a>\n </td>\n <td>Donation</td>\n <td>Uses and disclosures for cadaveric organ, eye or tissue donation purposes</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-DONAT\">DONAT</a>\n </td>\n </tr>\n <tr>\n <td>RESEARCH\n <a name=\"RESEARCH\"> </a>\n </td>\n <td>Research</td>\n <td>Uses and disclosures for research purposes.</td>\n <td>\n <span title=\"narrower\">></span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HRESCH\">HRESCH</a>\n <i>(Not clear how much difference there is between 'research' and 'healthcare research')</i>\n </td>\n </tr>\n <tr>\n <td>THREAT\n <a name=\"THREAT\"> </a>\n </td>\n <td>Threat</td>\n <td>Uses and disclosures to avert a serious threat to health or safety.</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-THREAT\">THREAT</a>\n </td>\n </tr>\n <tr>\n <td>GOVERNMENT\n <a name=\"GOVERNMENT\"> </a>\n </td>\n <td>Government</td>\n <td>Uses and disclosures for specialized government functions.</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-GOV\">GOV</a>\n </td>\n </tr>\n <tr>\n <td>WORKERSCOMP\n <a name=\"WORKERSCOMP\"> </a>\n </td>\n <td>Worker's Comp</td>\n <td>Disclosures for workers’ compensation.</td>\n <td/>\n </tr>\n <tr>\n <td>COVERAGE\n <a name=\"COVERAGE\"> </a>\n </td>\n <td>Coverage</td>\n <td>Disclosures for insurance or disability coverage determination</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-OVAUTH\">OVAUTH</a>\n </td>\n </tr>\n <tr>\n <td>REQUEST\n <a name=\"REQUEST\"> </a>\n </td>\n <td>Reqeust</td>\n <td>Request of the Individual</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-PATRQT\">PATRQT</a>\n </td>\n </tr>\n </table>\n </div>" }, "contained": [ { "resourceType": "ConceptMap", "id": "map", "name": "NHIN / V3 Mapping", "status": "draft", "sourceReference": { "reference": "http://hl7.org/fhir/ValueSet/nhin-purposeofuse" }, "targetReference": { "reference": "http://hl7.org/fhir/ValueSet/v3-PurposeOfUse" }, "element": [ { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "TREATMENT", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "TREAT", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "PAYMENT", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "HPAYMT", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "OPERATIONS", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "HOPERAT", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "SYSADMIN", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "SYSADMIN", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "FRAUD", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "FRAUD", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "PSYCHOTHERAPY", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "PSYCHOTHERAPY", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "TRAINING", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "TRAINING", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "LEGAL", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "HLEGAL", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "MARKETING", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "HMARKT", "equivalence": "narrower", "comments": "Not clear how much difference there is between 'marketing' and 'healthcare marketing'" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "DIRECTORY", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "HDIRECT", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "DISASTER", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "DISASTER", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "PUBLICHEALTH", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "PUBHLTH", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "JUDICIAL", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "HLEGAL", "equivalence": "wider" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "LAW", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "HLEGAL", "equivalence": "wider" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "DONATION", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "DONAT", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "RESEARCH", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "HRESCH", "equivalence": "narrower", "comments": "Not clear how much difference there is between 'research' and 'healthcare research'" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "THREAT", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "THREAT", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "GOVERNMENT", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "GOV", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "COVERAGE", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "OVAUTH", "equivalence": "equivalent" } ] }, { "codeSystem": "http://healthit.gov/nhin/purposeofuse", "code": "REQUEST", "target": [ { "codeSystem": "http://hl7.org/fhir/v3/ActReason", "code": "PATRQT", "equivalence": "equivalent" } ] } ] } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/valueset-map", "valueReference": { "reference": "#map" } } ], "url": "http://hl7.org/fhir/ValueSet/nhin-purposeofuse", "_url": { "fhir_comments": [ " set of loinc codes for cholesterol for LONC 2.36 " ] }, "version": "2.0", "name": "NHIN PurposeOfUse", "status": "active", "experimental": false, "publisher": "Nationwide Health Information Network (NHIN)", "contact": [ { "telecom": [ { "system": "other", "value": "https://www.healthit.gov/sites/default/files/nhin-authorization-framework-production-specification-v2.0-1.pdf" } ] } ], "date": "2010-01-29", "description": "This value set is suitable for use with the provenance resource. It is derived from, but not compatible with, the V3 Purpose of use Code system", "codeSystem": { "system": "http://healthit.gov/nhin/purposeofuse", "version": "2.0", "caseSensitive": true, "concept": [ { "code": "TREATMENT", "display": "Treatment", "definition": "Treatment" }, { "code": "PAYMENT", "display": "Payment", "definition": "Payment" }, { "code": "OPERATIONS", "display": "Operations", "definition": "Healthcare Operations" }, { "code": "SYSADMIN", "display": "Sysadmin", "definition": "System Administration" }, { "code": "FRAUD", "display": "Fraud", "definition": "Fraud detection" }, { "code": "PSYCHOTHERAPY", "display": "Psychotherapy", "definition": "Use or disclosure of Psychotherapy Notes" }, { "code": "TRAINING", "display": "Training", "definition": "Use or disclosure by the covered entity for its own training programs" }, { "code": "LEGAL", "display": "Legal", "definition": "Use or disclosure by the covered entity to defend itself in a legal action" }, { "code": "MARKETING", "display": "Marketing", "definition": "Marketing" }, { "code": "DIRECTORY", "display": "Directory", "definition": "Use and disclosure for facility directories" }, { "code": "FAMILY", "display": "Family", "definition": "Disclose to a family member, other relative, or a close personal friend of the individua" }, { "code": "PRESENT", "display": "Prsent", "definition": "Uses and disclosures with the individual present." }, { "code": "EMERGENCY", "display": "Emergency", "definition": "ermission cannot practicably be provided because of the individual’s incapacity or an emergenc" }, { "code": "DISASTER", "display": "Disaster", "definition": "Use and disclosures for disaster relief purposes." }, { "code": "PUBLICHEALTH", "display": "Public Health", "definition": "Uses and disclosures for public health activities." }, { "code": "ABUSE", "display": "Abuse", "definition": "Disclosures about victims of abus" }, { "code": "OVERSIGHT", "display": "Oversight", "definition": "Uses and disclosures for health oversight activities." }, { "code": "JUDICIAL", "display": "Judicial", "definition": "Disclosures for judicial and administrative proceedings." }, { "code": "LAW", "display": "Law Enforcement", "definition": "Disclosures for law enforcement purposes." }, { "code": "DECEASED", "display": "Deceased", "definition": "Uses and disclosures about decedents." }, { "code": "DONATION", "display": "Donation", "definition": "Uses and disclosures for cadaveric organ, eye or tissue donation purposes" }, { "code": "RESEARCH", "display": "Research", "definition": "Uses and disclosures for research purposes." }, { "code": "THREAT", "display": "Threat", "definition": "Uses and disclosures to avert a serious threat to health or safety." }, { "code": "GOVERNMENT", "display": "Government", "definition": "Uses and disclosures for specialized government functions." }, { "code": "WORKERSCOMP", "display": "Worker's Comp", "definition": "Disclosures for workers’ compensation." }, { "code": "COVERAGE", "display": "Coverage", "definition": "Disclosures for insurance or disability coverage determination" }, { "code": "REQUEST", "display": "Reqeust", "definition": "Request of the Individual" } ] } }
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.