R4 Draft for Comment
TerminologyThis page is part of the FHIR Specification (v3.2.0: R4 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
| Vocabulary Work Group | Maturity Level: 3 | Trial Use | Use Context: Not Intended for Production use |
This is a value set defined by the FHIR project.
Summary
| Defining URL: | http://hl7.org/fhir/ValueSet/security-labels |
| Name: | All Security Labels |
| Definition: | A single value set for all security labels defined by FHIR. |
| Committee: | ?? |
| OID: | 2.16.840.1.113883.4.642.3.47 (for OID based terminology systems) |
| Source Resource | XML / JSON |
This value set is used in the following places:
This value set includes codes from the following code systems:
This expansion generated 20 Dec 2017
This value set contains 181 concepts
Expansion based on http://hl7.org/fhir/ValueSet/v3-SecurityControlObservationValue version 2014-03-26, http://hl7.org/fhir/v3/ActUSPrivacyLaw version 2017-07-31, http://hl7.org/fhir/ValueSet/v3-InformationSensitivityPolicy version 2014-03-26, http://hl7.org/fhir/v3/Confidentiality version 2017-07-31, http://hl7.org/fhir/v3/ActCode version 2017-07-31, http://hl7.org/fhir/ValueSet/v3-RefrainPolicy version 2014-03-26, http://hl7.org/fhir/ValueSet/v3-SecurityPolicy version 2014-03-26, http://hl7.org/fhir/v3/ActReason version 2017-07-31, http://hl7.org/fhir/ValueSet/v3-GeneralPurposeOfUse version 2014-03-26, http://hl7.org/fhir/ValueSet/v3-SecurityIntegrityObservationValue version 2014-03-26, http://hl7.org/fhir/ValueSet/v3-ConfidentialityClassification version 2014-03-26, http://hl7.org/fhir/v3/ObservationValue version 2017-07-31, http://hl7.org/fhir/ValueSet/v3-ActUSPrivacyLaw version 2017-07-31, http://hl7.org/fhir/ValueSet/v3-Compartment version 2014-03-26, http://hl7.org/fhir/ValueSet/v3-PurposeOfUse version 2014-03-26, http://hl7.org/fhir/ValueSet/v3-ObligationPolicy version 2014-03-26
| Code | System | Display | Definition |
| U | http://hl7.org/fhir/v3/Confidentiality | unrestricted | Definition: Privacy metadata indicating that the information is not classified as sensitive. Examples: Includes publicly available information, e.g., business name, phone, email or physical address. Usage Note: This metadata indicates that the receiver has no obligation to consider additional policies when making access control decisions. Note that in some jurisdictions, personally identifiable information must be protected as confidential, so it would not be appropriate to assign a confidentiality code of "unrestricted" to that information even if it is publicly available. |
| L | http://hl7.org/fhir/v3/Confidentiality | low | Definition: Privacy metadata indicating that the information has been de-identified, and there are mitigating circumstances that prevent re-identification, which minimize risk of harm from unauthorized disclosure. The information requires protection to maintain low sensitivity. Examples: Includes anonymized, pseudonymized, or non-personally identifiable information such as HIPAA limited data sets. Map: No clear map to ISO 13606-4 Sensitivity Level (1) Care Management: RECORD_COMPONENTs that might need to be accessed by a wide range of administrative staff to manage the subject of care's access to health services. Usage Note: This metadata indicates the receiver may have an obligation to comply with a data use agreement. |
| M | http://hl7.org/fhir/v3/Confidentiality | moderate | Definition: Privacy metadata indicating moderately sensitive information, which presents moderate risk of harm if disclosed without authorization. Examples: Includes allergies of non-sensitive nature used inform food service; health information a patient authorizes to be used for marketing, released to a bank for a health credit card or savings account; or information in personal health record systems that are not governed under health privacy laws. Map: Partial Map to ISO 13606-4 Sensitivity Level (2) Clinical Management: Less sensitive RECORD_COMPONENTs that might need to be accessed by a wider range of personnel not all of whom are actively caring for the patient (e.g. radiology staff). Usage Note: This metadata indicates that the receiver may be obligated to comply with the receiver's terms of use or privacy policies. |
| N | http://hl7.org/fhir/v3/Confidentiality | normal | Definition: Privacy metadata indicating that the information is typical, non-stigmatizing health information, which presents typical risk of harm if disclosed without authorization. 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. 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. Usage Note: This metadata indicates that the receiver may be obligated to comply with applicable jurisdictional privacy law or disclosure authorization. |
| R | http://hl7.org/fhir/v3/Confidentiality | restricted | 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. 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. 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.. Usage Note: This metadata indicates that the receiver may be obligated to comply with applicable, prevailing (default) jurisdictional privacy law or disclosure authorization.. |
| V | http://hl7.org/fhir/v3/Confidentiality | very restricted | . 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. 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 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. 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. |
| ETH | http://hl7.org/fhir/v3/ActCode | substance abuse information sensitivity | Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| GDIS | http://hl7.org/fhir/v3/ActCode | genetic disease information sensitivity | Policy for handling genetic disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to genetic disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| HIV | http://hl7.org/fhir/v3/ActCode | HIV/AIDS information sensitivity | Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to HIV or AIDS information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| PSY | http://hl7.org/fhir/v3/ActCode | psychiatry information sensitivity | Policy for handling psychiatry information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to psychiatry information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| SCA | http://hl7.org/fhir/v3/ActCode | sickle cell anemia | Policy for handling sickle cell disease information, which is afforded heightened confidentiality. Information handling protocols are based on organizational policies related to sickle cell disease information, which is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then the Act valued with this ActCode should be associated with an Act valued with any applicable laws from the ActPrivacyLaw code system. |
| SOC | http://hl7.org/fhir/v3/ActCode | social services sensitivity | Information about provision of social services. Usage Note: This is a temporary addition to FHIR to be proposed in harmonization. |
| SDV | http://hl7.org/fhir/v3/ActCode | sexual assault, abuse, or domestic violence information sensitivity | Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexual assault, abuse, or domestic violence information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| SEX | http://hl7.org/fhir/v3/ActCode | sexuality and reproductive health information sensitivity | Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| STD | http://hl7.org/fhir/v3/ActCode | sexually transmitted disease information sensitivity | Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexually transmitted disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| TBOO | http://hl7.org/fhir/v3/ActCode | taboo | Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case. Information handling protocols based on organizational policies related to sensitive patient information that must be initially discussed with the patient by an attending physician before being disclosed to the patient. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Open Issue: This definition conflates a rule and a characteristic, and there may be a similar issue with ts sibling codes. |
| SICKLE | http://hl7.org/fhir/v3/ActCode | sickle cell | Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values. |
| DEMO | http://hl7.org/fhir/v3/ActCode | all demographic information sensitivity | Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to all demographic about an information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| DOB | http://hl7.org/fhir/v3/ActCode | date of birth information sensitivity | Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| GENDER | http://hl7.org/fhir/v3/ActCode | gender and sexual orientation information sensitivity | Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's gender and sexual orientation, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| LIVARG | http://hl7.org/fhir/v3/ActCode | living arrangement information sensitivity | Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's living arrangement, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| MARST | http://hl7.org/fhir/v3/ActCode | marital status information sensitivity | Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's marital status, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| RACE | http://hl7.org/fhir/v3/ActCode | race information sensitivity | Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's race, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| REL | http://hl7.org/fhir/v3/ActCode | religion information sensitivity | Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's religion, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| B | http://hl7.org/fhir/v3/ActCode | business information sensitivity | Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality. Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. Usage Notes: No patient related information may ever be of this confidentiality level. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| EMPL | http://hl7.org/fhir/v3/ActCode | employer information sensitivity | Policy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to an employer, such as law enforcement or national security, the identity of which could impact the privacy, well-being, or safety of an information subject who is an employee. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| LOCIS | http://hl7.org/fhir/v3/ActCode | location information sensitivity | Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to the location of the information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| SSP | http://hl7.org/fhir/v3/ActCode | sensitive service provider information sensitivity | Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to providers who deliver sensitive healthcare services in order to protect the privacy, well-being, and safety of the provider and of patients receiving sensitive services. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| ADOL | http://hl7.org/fhir/v3/ActCode | adolescent information sensitivity | Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy. An enterprise may have a policy that requires that adolescent patient information be provided heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which an adolescent is the information subject. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| CEL | http://hl7.org/fhir/v3/ActCode | celebrity information sensitivity | Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| DIA | http://hl7.org/fhir/v3/ActCode | diagnosis information sensitivity | Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality. Diagnostic, health condition or health problem related information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to diagnostic, health condition or health problem related information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| DRGIS | http://hl7.org/fhir/v3/ActCode | drug information sensitivity | Policy for handling information related to a drug, which will be afforded heightened confidentiality. Drug information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to drug information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| EMP | http://hl7.org/fhir/v3/ActCode | employee information sensitivity | Policy for handling information related to an employee, which will be afforded heightened confidentiality. When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: Policy for handling information related to an employee, which will be afforded heightened confidentiality. Description: When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. |
| PDS | http://hl7.org/fhir/v3/ActCode | patient default sensitivity | Policy for handling information reported by the patient about another person, e.g., a family member, which will be afforded heightened confidentiality. Sensitive information reported by the patient about another person, e.g., family members may be deemed sensitive by default. The flag may be set or cleared on patient's request. Usage Note: For sensitive information relayed by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive.) If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| PRS | http://hl7.org/fhir/v3/ActCode | patient requested sensitivity | For sensitive information relayed by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive.) If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Usage Note: For use within an enterprise that provides heightened confidentiality to certain types of information designated by a patient as sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. |
| COMPT | http://hl7.org/fhir/v3/ActCode | compartment | This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk." |
| ACOCOMPT | http://hl7.org/fhir/v3/ActCode | accountable care organization compartment | A group of health care entities, which may include health care providers, care givers, hospitals, facilities, health plans, and other health care constituents who coordinate care for reimbursement based on quality metrics for improving outcomes and lowering costs, and may be authorized to access the consumer's health information because of membership in that group. Security Compartment Labels assigned to a consumer's information use in accountable care workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a an accountable care workflow who is requesting access to that information |
| CTCOMPT | http://hl7.org/fhir/v3/ActCode | care team compartment | Care coordination across participants in a care plan requires sharing of a healthcare consumer's information specific to that workflow. A care team member should only have access to that information while participating in that workflow or for other authorized uses. Security Compartment Labels assigned to a consumer's information use in care coordination workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a care team member workflow who is requesting access to that information |
| FMCOMPT | http://hl7.org/fhir/v3/ActCode | financial management compartment | Financial management department members who have access to healthcare consumer information as part of a patient account, billing and claims workflows. Security Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a financial management workflow who is requesting access to that information. |
| HRCOMPT | http://hl7.org/fhir/v3/ActCode | human resource compartment | A security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow. |
| LRCOMPT | http://hl7.org/fhir/v3/ActCode | legitimate relationship compartment | Providers and care givers who have an established relationship per criteria determined by policy are considered to have an established care provision relations with a healthcare consumer, and may be authorized to access the consumer's health information because of that relationship. Providers and care givers should only have access to that information while participating in legitimate relationship workflows or for other authorized uses. Security Compartment Labels assigned to a consumer's information use in legitimate relationship workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a legitimate relationship workflow who is requesting access to that information. |
| PACOMPT | http://hl7.org/fhir/v3/ActCode | patient administration compartment | Patient administration members who have access to healthcare consumer information as part of a patient administration workflows. Security Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a patient administration workflow who is requesting access to that information. |
| RESCOMPT | http://hl7.org/fhir/v3/ActCode | research project compartment | A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project. |
| RMGTCOMPT | http://hl7.org/fhir/v3/ActCode | records management compartment | A security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow. |
| ABSTRED | http://hl7.org/fhir/v3/ObservationValue | abstracted | Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN. |
| AGGRED | http://hl7.org/fhir/v3/ObservationValue | aggregated | Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary. |
| ANONYED | http://hl7.org/fhir/v3/ObservationValue | anonymized | Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained. |
| MAPPED | http://hl7.org/fhir/v3/ObservationValue | mapped | Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another. Usage Note: "MAP" code does not indicate the semantic fidelity of the transformed content. To indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052). Semantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation. |
| MASKED | http://hl7.org/fhir/v3/ObservationValue | masked | Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or "shared secret". Usage Note: "MASKED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided. |
| PSEUDED | http://hl7.org/fhir/v3/ObservationValue | pseudonymized | Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject. Rationale: Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics—Pseudonymization |
| REDACTED | http://hl7.org/fhir/v3/ObservationValue | redacted | Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed. Usage Note: "REDACTED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received. |
| SUBSETTED | http://hl7.org/fhir/v3/ObservationValue | subsetted | Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update Usage Note: This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use. |
| SYNTAC | http://hl7.org/fhir/v3/ObservationValue | syntactic transform | Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another. Usage Note: "SYNTAC" code does not indicate the syntactical correctness of the syntactically transformed IT resource. |
| TRSLT | http://hl7.org/fhir/v3/ObservationValue | translated | Security metadata observation value used to indicate that the IT resource has been translated from one human language to another. Usage Note: "TRSLT" does not indicate the fidelity of the translation or the languages translated. The fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation. To indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526) |
| VERSIONED | http://hl7.org/fhir/v3/ObservationValue | versioned | Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy Usage Note: When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version. |
| CRYTOHASH | http://hl7.org/fhir/v3/ObservationValue | cryptographic hash function | Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit. Rationale: This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit. Examples: SHA-1 SHA-2 (Secure Hash Algorithm) |
| DIGSIG | http://hl7.org/fhir/v3/ObservationValue | digital signature | Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified. Rationale: This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient. |
| HRELIABLE | http://hl7.org/fhir/v3/ObservationValue | highly reliable | Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high. |
| RELIABLE | http://hl7.org/fhir/v3/ObservationValue | reliable | Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate. |
| UNCERTREL | http://hl7.org/fhir/v3/ObservationValue | uncertain reliability | Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain. |
| UNRELIABLE | http://hl7.org/fhir/v3/ObservationValue | unreliable | Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate. |
| CLINAST | http://hl7.org/fhir/v3/ObservationValue | clinician asserted | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician. |
| DEVAST | http://hl7.org/fhir/v3/ObservationValue | device asserted | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device. |
| HCPAST | http://hl7.org/fhir/v3/ObservationValue | healthcare professional asserted | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional. |
| PACQAST | http://hl7.org/fhir/v3/ObservationValue | patient acquaintance asserted | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance. |
| PATAST | http://hl7.org/fhir/v3/ObservationValue | patient asserted | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient. |
| PAYAST | http://hl7.org/fhir/v3/ObservationValue | payer asserted | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer. |
| PROAST | http://hl7.org/fhir/v3/ObservationValue | professional asserted | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional. |
| SDMAST | http://hl7.org/fhir/v3/ObservationValue | substitute decision maker asserted | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker. |
| CLINRPT | http://hl7.org/fhir/v3/ObservationValue | clinician reported | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician. |
| DEVRPT | http://hl7.org/fhir/v3/ObservationValue | device reported | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device. |
| HCPRPT | http://hl7.org/fhir/v3/ObservationValue | healthcare professional reported | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional. |
| PACQRPT | http://hl7.org/fhir/v3/ObservationValue | patient acquaintance reported | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance. |
| PATRPT | http://hl7.org/fhir/v3/ObservationValue | patient reported | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient. |
| PAYRPT | http://hl7.org/fhir/v3/ObservationValue | payer reported | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer. |
| PRORPT | http://hl7.org/fhir/v3/ObservationValue | professional reported | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional. |
| SDMRPT | http://hl7.org/fhir/v3/ObservationValue | substitute decision maker reported | Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker. |
| SecurityPolicy | http://hl7.org/fhir/v3/ActCode | security policy | Types of security policies that further specify the ActClassPolicy value set. Examples: obligation to encrypt refrain from redisclosure without consent |
| ObligationPolicy | http://hl7.org/fhir/v3/ActCode | obligation policy | Conveys the mandated workflow action that an information custodian, receiver, or user must perform. Usage Notes: Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision. |
| ANONY | http://hl7.org/fhir/v3/ActCode | anonymize | Custodian system must remove any information that could result in identifying the information subject. |
| AOD | http://hl7.org/fhir/v3/ActCode | accounting of disclosure | Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual’s protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested. |
| AUDIT | http://hl7.org/fhir/v3/ActCode | audit | Custodian system must monitor systems to ensure that all users are authorized to operate on information objects. |
| AUDTR | http://hl7.org/fhir/v3/ActCode | audit trail | Custodian system must monitor and maintain retrievable log for each user and operation on information. |
| CPLYCC | http://hl7.org/fhir/v3/ActCode | comply with confidentiality code | Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target. |
| CPLYCD | http://hl7.org/fhir/v3/ActCode | comply with consent directive | Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives. |
| CPLYJPP | http://hl7.org/fhir/v3/ActCode | comply with jurisdictional privacy policy | Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information. |
| CPLYOPP | http://hl7.org/fhir/v3/ActCode | comply with organizational privacy policy | Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information. |
| CPLYOSP | http://hl7.org/fhir/v3/ActCode | comply with organizational security policy | Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information. |
| CPLYPOL | http://hl7.org/fhir/v3/ActCode | comply with policy | Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information. |
| DECLASSIFYLABEL | http://hl7.org/fhir/v3/ActCode | declassify security label | Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. |
| DEID | http://hl7.org/fhir/v3/ActCode | deidentify | Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. |
| DELAU | http://hl7.org/fhir/v3/ActCode | delete after use | Custodian system must remove target information from access after use. |
| DOWNGRDLABEL | http://hl7.org/fhir/v3/ActCode | downgrade security label | Custodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. |
| DRIVLABEL | http://hl7.org/fhir/v3/ActCode | derive security label | Custodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. |
| ENCRYPT | http://hl7.org/fhir/v3/ActCode | encrypt | Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext. Usage Notes: A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.) |
| ENCRYPTR | http://hl7.org/fhir/v3/ActCode | encrypt at rest | Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage. |
| ENCRYPTT | http://hl7.org/fhir/v3/ActCode | encrypt in transit | Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means. |
| ENCRYPTU | http://hl7.org/fhir/v3/ActCode | encrypt in use | Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user. |
| HUAPRV | http://hl7.org/fhir/v3/ActCode | human approval | Custodian system must require human review and approval for permission requested. |
| LABEL | http://hl7.org/fhir/v3/ActCode | assign security label | Custodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding. Usage Note: In security systems, security policy label assignments do not change, they may supersede prior assignments, and such reassignments are always tracked for auditing and other purposes. |
| MASK | http://hl7.org/fhir/v3/ActCode | mask | Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or "shared secret". |
| MINEC | http://hl7.org/fhir/v3/ActCode | minimum necessary | Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use. Usage Note: Limiting the information available for access and disclosure to that an authorized user or receiver "needs to know" in order to perform permitted workflow or purpose of use. |
| PERSISTLABEL | http://hl7.org/fhir/v3/ActCode | persist security label | Custodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding. |
| PRIVMARK | http://hl7.org/fhir/v3/ActCode | privacy mark | Custodian must create and/or maintain human readable security label tags as required by policy. Map: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: "If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label." |
| PSEUD | http://hl7.org/fhir/v3/ActCode | pseudonymize | Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject. |
| REDACT | http://hl7.org/fhir/v3/ActCode | redact | Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users. |
| UPGRDLABEL | http://hl7.org/fhir/v3/ActCode | upgrade security label | Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. |
| RefrainPolicy | http://hl7.org/fhir/v3/ActCode | refrain policy | Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances. Usage Notes: ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc. |
| NOAUTH | http://hl7.org/fhir/v3/ActCode | no disclosure without subject authorization | Prohibition on disclosure without information subject's authorization. |
| NOCOLLECT | http://hl7.org/fhir/v3/ActCode | no collection | Prohibition on collection or storage of the information. |
| NODSCLCD | http://hl7.org/fhir/v3/ActCode | no disclosure without consent directive | Prohibition on disclosure without organizational approved patient restriction. |
| NODSCLCDS | http://hl7.org/fhir/v3/ActCode | no disclosure without information subject's consent directive | Prohibition on disclosure without a consent directive from the information subject. |
| NOINTEGRATE | http://hl7.org/fhir/v3/ActCode | no integration | Prohibition on Integration into other records. |
| NOLIST | http://hl7.org/fhir/v3/ActCode | no unlisted entity disclosure | Prohibition on disclosure except to entities on specific access list. |
| NOMOU | http://hl7.org/fhir/v3/ActCode | no disclosure without MOU | Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU). |
| NOORGPOL | http://hl7.org/fhir/v3/ActCode | no disclosure without organizational authorization | Prohibition on disclosure without organizational authorization. |
| NOPAT | http://hl7.org/fhir/v3/ActCode | no disclosure to patient, family or caregivers without attending provider's authorization | Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization. Usage Note: The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access. Maps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance. FHIR print name is "keep information from patient". Maps to the French realm - code: INVISIBLE_PATIENT. displayName: Document non visible par le patient codingScheme: 1.2.250.1.213.1.1.4.13 French use case: A label for documents that the author chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone). |
| NOPERSISTP | http://hl7.org/fhir/v3/ActCode | no collection beyond purpose of use | Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited. |
| NORDSCLCD | http://hl7.org/fhir/v3/ActCode | no redisclosure without consent directive | Prohibition on redisclosure without patient consent directive. |
| NORDSCLCDS | http://hl7.org/fhir/v3/ActCode | no redisclosure without information subject's consent directive | Prohibition on redisclosure without a consent directive from the information subject. |
| NORDSCLW | http://hl7.org/fhir/v3/ActCode | no disclosure without jurisdictional authorization | Prohibition on disclosure without authorization under jurisdictional law. |
| NORELINK | http://hl7.org/fhir/v3/ActCode | no relinking | Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked. |
| NOREUSE | http://hl7.org/fhir/v3/ActCode | no reuse beyond purpose of use | Prohibition on use of the information beyond the purpose of use initially authorized. |
| NOVIP | http://hl7.org/fhir/v3/ActCode | no unauthorized VIP disclosure | Prohibition on disclosure except to principals with access permission to specific VIP information. |
| ORCON | http://hl7.org/fhir/v3/ActCode | no disclosure without originator authorization | Prohibition on disclosure except as permitted by the information originator. |
| PurposeOfUse | http://hl7.org/fhir/v3/ActReason | purpose of use | Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives. Usage Notes: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes. |
| HMARKT | http://hl7.org/fhir/v3/ActReason | healthcare marketing | To perform one or more operations on information for marketing services and products related to health care. |
| HOPERAT | http://hl7.org/fhir/v3/ActReason | healthcare operations | To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care. |
| DONAT | http://hl7.org/fhir/v3/ActReason | donation | To perform one or more operations on information used for cadaveric organ, eye or tissue donation. |
| FRAUD | http://hl7.org/fhir/v3/ActReason | fraud | To perform one or more operations on information used for fraud detection and prevention processes. |
| GOV | http://hl7.org/fhir/v3/ActReason | government | To perform one or more operations on information used within government processes. |
| HACCRED | http://hl7.org/fhir/v3/ActReason | health accreditation | To perform one or more operations on information for conducting activities related to meeting accreditation criteria. |
| HCOMPL | http://hl7.org/fhir/v3/ActReason | health compliance | To perform one or more operations on information used for conducting activities required to meet a mandate. |
| HDECD | http://hl7.org/fhir/v3/ActReason | decedent | To perform one or more operations on information used for handling deceased patient matters. |
| HDIRECT | http://hl7.org/fhir/v3/ActReason | directory | To perform one or more operation operations on information used to manage a patient directory. Examples: facility enterprise payer health information exchange patient directory |
| HLEGAL | http://hl7.org/fhir/v3/ActReason | legal | To perform one or more operations on information for conducting activities required by legal proceeding. |
| HOUTCOMS | http://hl7.org/fhir/v3/ActReason | health outcome measure | To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions. |
| HPRGRP | http://hl7.org/fhir/v3/ActReason | health program reporting | To perform one or more operations on information used for conducting activities to meet program accounting requirements. |
| HQUALIMP | http://hl7.org/fhir/v3/ActReason | health quality improvement | To perform one or more operations on information used for conducting administrative activities to improve health care quality. |
| HSYSADMIN | http://hl7.org/fhir/v3/ActReason | health system administration | To perform one or more operations on information to administer the electronic systems used for the delivery of health care. |
| LABELING | http://hl7.org/fhir/v3/ActReason | labeling | To perform one or more operations on information to assign, persist, and manage labels to healthcare data to characterize various aspects, such as its security classification, sensitivity, compartment, integrity, and provenance; applicable privacy, consent, security, provenance, and trust policies; and handling caveats such as purpose of use, obligations, and refrain policies. Label management includes classification of target data by constructing and binding of a label set per applicable policies, security policy information file semantics, and classification guides. Label management also includes process and procedures for subsequent revision of a label for, e.g., reclassification, downgrading classification, and declassification. Label revisions may be triggered by, e.g., expiry of classification period; changes in applicable policy, e.g., revocation of a consent directive; or changes in the governing policy domain in which the data is relocated or a copy of the data is sent. If a label is revised, an audit log should be kept and the provenance of the label changes should be tracked. |
| METAMGT | http://hl7.org/fhir/v3/ActReason | metadata management | To perform one or more operations on information to assign, persist, and manage metadata to healthcare data to characterize various aspects used for its indexing, discovery, retrieval, and processing by systems, applications, and end users. For example, master index identifier, media type, and location. |
| MEMADMIN | http://hl7.org/fhir/v3/ActReason | member administration | To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program. |
| MILCDM | http://hl7.org/fhir/v3/ActReason | military command | To perform one or more operations on information for conducting activities required by military processes, procedures, policies, or law. |
| PATADMIN | http://hl7.org/fhir/v3/ActReason | patient administration | To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient. |
| PATSFTY | http://hl7.org/fhir/v3/ActReason | patient safety | To perform one or more operations on information in processes related to ensuring the safety of health care. |
| PERFMSR | http://hl7.org/fhir/v3/ActReason | performance measure | To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions. |
| RECORDMGT | http://hl7.org/fhir/v3/ActReason | records management | To perform one or more operations on information used within the health records management process. |
| SYSDEV | http://hl7.org/fhir/v3/ActReason | system development | To perform one or more operations on information to design, develop, implement, test, or deploy a healthcare system or application. |
| HTEST | http://hl7.org/fhir/v3/ActReason | test health data | To perform one or more operations on information that is simulated or synthetic health data used for testing system capabilities outside of a production or operational system environment. Usage Note: Data marked with a HTEST security label enables an access control system to permit interfacing systems or end users provisioned with a clearance, which includes a HTEST purpose of use attribute, to test, verify, or validate that a system or application will operate in production as intended based on design specifications. |
| TRAIN | http://hl7.org/fhir/v3/ActReason | training | To perform one or more operations on information used in training and education. |
| HPAYMT | http://hl7.org/fhir/v3/ActReason | healthcare payment | To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care. |
| CLMATTCH | http://hl7.org/fhir/v3/ActReason | claim attachment | To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services. |
| COVAUTH | http://hl7.org/fhir/v3/ActReason | coverage authorization | To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services. |
| COVERAGE | http://hl7.org/fhir/v3/ActReason | coverage under policy or program | To perform one or more operations on information for conducting activities related to coverage under a program or policy. |
| ELIGDTRM | http://hl7.org/fhir/v3/ActReason | eligibility determination | To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment. |
| ELIGVER | http://hl7.org/fhir/v3/ActReason | eligibility verification | To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy. May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays. |
| ENROLLM | http://hl7.org/fhir/v3/ActReason | enrollment | To perform one or more operations on information used for enrolling a covered party in a program or policy. May entail recording of covered party's and any dependent's demographic information and benefit choices. |
| MILDCRG | http://hl7.org/fhir/v3/ActReason | military discharge | To perform one or more operations on information for the process of releasing military personnel from their service obligations, which may include determining service merit, discharge benefits, and disability assessment. |
| REMITADV | http://hl7.org/fhir/v3/ActReason | remittance advice | To perform one or more operations on information about the amount remitted for a health care claim. |
| HRESCH | http://hl7.org/fhir/v3/ActReason | healthcare research | To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data iincludes basic and applied research such as biomedical, population origin or ancestry, translational research, and disease, discipline, specialty specific healthcare research and clinical trial research. |
| BIORCH | http://hl7.org/fhir/v3/ActReason | biomedical research | To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified biomedical basic or applied research. For example, research on rare plants to determine whether biologic properties may be useful for pharmaceutical development. May be used in combination with clinical trial and other healthcare research purposes of use. |
| CLINTRCH | http://hl7.org/fhir/v3/ActReason | clinical trial research | To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge. |
| CLINTRCHNPC | http://hl7.org/fhir/v3/ActReason | clinical trial research without patient care | To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge without provision of patient care. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, a clinical trial conducted on laboratory specimens collected from a specified patient population. |
| CLINTRCHPC | http://hl7.org/fhir/v3/ActReason | clinical trial research with patient care | To perform one or more operations on information for conducting scientific investigations with patient care in accordance with clinical trial protocols to obtain health care knowledge. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, an "off-label" drug used for cancer therapy administer to a specified patient population. |
| PRECLINTRCH | http://hl7.org/fhir/v3/ActReason | preclinical trial research | To perform one or more operations on information in preparation for conducting scientific investigation to obtain health care knowledge, such as research on animals or review of patient health records, to determine the feasibility of a clinical trial study; assist with protocol design; or in preparation for institutional review board or ethics committee approval process. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. |
| DSRCH | http://hl7.org/fhir/v3/ActReason | disease specific healthcare research | To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified conditions, diagnosis, or disease healthcare research. For example, conducting cancer research by testing reaction of tumor cells to certain biologics. May be used in combination with clinical trial and other healthcare research purposes of use. |
| POARCH | http://hl7.org/fhir/v3/ActReason | population origins or ancestry healthcare research | To perform one or more operations on information, including genealogical pedigrees, historical records, surveys, family health data, health records, and genetic information, for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to population origins and/or ancestry healthcare research. For example, gathering genetic specimens from a specific population in order to determine the ancestry and population origins of that group. May be used in combination with clinical trial and other healthcare research purposes of use. |
| TRANSRCH | http://hl7.org/fhir/v3/ActReason | translational healthcare research | To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge related to evidence based medicine during the course of providing healthcare treatment. Sometimes referred to as "bench to bedside", which is the iterative feedback loop between healthcare research and clinical trials with input from information collected in the course of routine provision of healthcare. For example, by extending a patient encounter to conduct a survey related to a research topic such as attitudes about use of a wellness device that a patient agreed to use. May be used in combination with clinical trial and other healthcare research purposes of use. |
| PATRQT | http://hl7.org/fhir/v3/ActReason | patient requested | To perform one or more operations on information in response to a patient's request. |
| FAMRQT | http://hl7.org/fhir/v3/ActReason | family requested | To perform one or more operations on information in response to a request by a family member authorized by the patient. |
| PWATRNY | http://hl7.org/fhir/v3/ActReason | power of attorney | To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative. |
| SUPNWK | http://hl7.org/fhir/v3/ActReason | support network | To perform one or more operations on information in response to a request by a person authorized by the patient. |
| PUBHLTH | http://hl7.org/fhir/v3/ActReason | public health | To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions. |
| DISASTER | http://hl7.org/fhir/v3/ActReason | disaster | To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone. |
| THREAT | http://hl7.org/fhir/v3/ActReason | threat | To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence. |
| TREAT | http://hl7.org/fhir/v3/ActReason | treatment | To perform one or more operations on information for provision of health care. |
| CAREMGT | http://hl7.org/fhir/v3/ActReason | Care Management | To perform one or more operations on information for provision of health care coordination. |
| CLINTRL | http://hl7.org/fhir/v3/ActReason | clinical trial | To perform health care as part of the clinical trial protocol. |
| ETREAT | http://hl7.org/fhir/v3/ActReason | Emergency Treatment | To perform one or more operations on information for provision of immediately needed health care for an emergent condition. |
| POPHLTH | http://hl7.org/fhir/v3/ActReason | population health | To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program. |
See the full registry of value sets defined as part of FHIR.
Explanation of the columns that may appear on this page:
| Lvl | A few code lists that FHIR defines are hierarchical - each code is assigned a level. For value sets, levels are mostly used to organise codes for user convenience, but may follow code system hierarchy - see Code System for further information |
| Source | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract') |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |
®© HL7.org 2011+. FHIR Release 4 Draft for Comment (Jan-2018 v3.2.0-12885) generated on Wed, Dec 20, 2017 15:55+1100. QA Page
Links: Search |
Version History |
Table of Contents |
Credits |
Compare to DSTU3 |
|
Propose a change