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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">></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"><</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"><</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">></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.