V3-x_BasicConfidentialityKind.xml

Description: Used to enumerate the typical confidentiality constraints placed upon a clinical document. Usage Note: x_BasicConfidentialityKind is a subset of Confidentiality codes that are used as metadata indicating the receiver responsibility to comply with normally applicable jurisdictional privacy law or disclosure authorization; that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject; or that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject.

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-xBasicConfidentialityKind"/>
  <meta>
    <lastUpdated value="2016-03-31T08:01:25.570+11:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>x_BasicConfidentialityKind</h2>
      <p>  Description:
        <br/>Used to enumerate the typical confidentiality constraints placed upon a clinical document.
            Usage Note:
        <br/>x_BasicConfidentialityKind is a subset of Confidentiality codes that are used as metadata
           indicating the receiver responsibility to comply with normally applicable jurisdictional
           privacy law or disclosure authorization; that the receiver may not disclose this information
           except as directed by the information custodian, who may be the information subject; or
           that the receiver may not disclose this information except as directed by the information
           custodian, who may be the information subject.
      </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>
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid">
    <valueUri value="urn:oid:2.16.840.1.113883.1.11.16926"/>
  </extension>
  <url value="http://hl7.org/fhir/ValueSet/v3-xBasicConfidentialityKind"/>
  <version value="2014-03-26"/>
  <name value="x_BasicConfidentialityKind"/>
  <status value="active"/>
  <experimental value="false"/>
  <publisher value="HL7 v3"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org"/>
    </telecom>
  </contact>
  <description value="  Description: Used to enumerate the typical confidentiality constraints placed upon a
     clinical document.  Usage Note: x_BasicConfidentialityKind is a subset of Confidentiality
     codes that are used as metadata indicating the receiver responsibility to comply with
     normally applicable jurisdictional privacy law or disclosure authorization; that the receiver
     may not disclose this information except as directed by the information custodian, who
     may be the information subject; or that the receiver may not disclose this information
     except as directed by the information custodian, who may be the information subject."/>
  <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>