Release 5 Preview #1

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V3-ActUSPrivacyLaw.cs.xml

Vocabulary Work GroupMaturity Level: N/AStandards Status: Informative

Raw XML (canonical form + also see XML Format Specification)

A jurisdictional mandate in the US relating to privacy. Deprecation Comment: Content moved to ActCode under _ActPrivacyLaw; use that instead.

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="v3-ActUSPrivacyLaw"/> 
  <meta> 
    <lastUpdated value="2019-07-31T00:00:00.000+10:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Release Date: 2019-07-31</p> 

      <table class="grid">
 
        <tr> 
          <td> 
            <b> Level</b> 
          </td> 
          <td> 
            <b> Code</b> 
          </td> 
          <td> 
            <b> Display</b> 
          </td> 
          <td> 
            <b> Definition</b> 
          </td> 
        </tr> 
 
        <tr style="background: #EFEFEF">
          <td> 1</td> 
          <td> _ActUSPrivacyLaw
            <a name="v3-ActUSPrivacyLaw-_ActUSPrivacyLaw"> </a>  
            <b> 
              <i> Deprecated</i> 
            </b> 
          </td> 
          <td> ActUSPrivacyLaw</td> 
          <td> 
                        
                           Definition: A jurisdictional mandate in the U.S. relating to
               privacy.
            <br/>  

                        
                           Usage Note: ActPrivacyLaw codes may be associated with an Act
               or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode
               or Role.confidentialtyCode complies.  May be used to further specify rationale for assignment
               of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated
               from ETH and Title38Part1.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr style="background: #EFEFEF">
          <td> 2</td> 
          <td>   42CFRPart2
            <a name="v3-ActUSPrivacyLaw-42CFRPart2"> </a>  
            <b> 
              <i> Deprecated</i> 
            </b> 
          </td> 
          <td> 42 CFR Part2</td> 
          <td> 
                        42 CFR Part 2 stipulates the right of an individual who has applied
               for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted
               program.
            <br/>  

                        
                           Definition: Non-disclosure of health information relating to
               health care paid for by a federally assisted substance abuse program without patient consent.
            <br/>  

                        
                           Usage Note: May be associated with an Act or a Role to indicate
               the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCod
              e complies.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr style="background: #EFEFEF">
          <td> 2</td> 
          <td>   CommonRule
            <a name="v3-ActUSPrivacyLaw-CommonRule"> </a>  
            <b> 
              <i> Deprecated</i> 
            </b> 
          </td> 
          <td> Common Rule</td> 
          <td> 
                        U.S. Federal regulations governing the protection of human subjects
               in research (codified at Subpart A of 45 CFR part 46) that has been adopted by 15 U.S.
               Federal departments and agencies in an effort to promote uniformity, understanding, and
               compliance with human subject protections. Existing regulations governing the protection
               of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts
               50, 56, 312, and 812) are separate from the Common Rule but include similar requirements.
            <br/>  

                        
                           Definition: U.S. federal laws governing research-related privacy
               policies.
            <br/>  

                        
                           Usage Note: May be associated with an Act or a Role to indicate
               the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode
               complies.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr style="background: #EFEFEF">
          <td> 2</td> 
          <td>   HIPAANOPP
            <a name="v3-ActUSPrivacyLaw-HIPAANOPP"> </a>  
            <b> 
              <i> Deprecated</i> 
            </b> 
          </td> 
          <td> HIPAA notice of privacy practices</td> 
          <td> 
                        The U.S. Public Law 104-191 Health Insurance Portability and Accountability
               Act (HIPAA) Privacy Rule (45 CFR Part 164 Subpart E) permits access, use and disclosure
               of certain personal health information (PHI as defined under the law) for purposes of
               Treatment, Payment, and Operations, and requires that the provider ask that patients acknowledge
               the Provider's Notice of Privacy Practices as permitted conduct under the law.
            <br/>  

                        
                           Definition: Notification of HIPAA Privacy Practices.
            <br/>  

                        
                           Usage Note: May be associated with an Act or a Role to indicate
               the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode
               complies.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr style="background: #EFEFEF">
          <td> 2</td> 
          <td>   HIPAAPsyNotes
            <a name="v3-ActUSPrivacyLaw-HIPAAPsyNotes"> </a>  
            <b> 
              <i> Deprecated</i> 
            </b> 
          </td> 
          <td> HIPAA psychotherapy notes</td> 
          <td> 
                        The U.S. Public Law 104-191 Health Insurance Portability and Accountability
               Act (HIPAA) Privacy Rule (45 CFR Part 164 Section 164.508) requires authorization for
               certain uses and disclosure of psychotherapy notes.
            <br/>  

                        
                           Definition: Authorization that must be obtained for disclosure
               of psychotherapy notes.
            <br/>  

                        
                           Usage Note: May be associated with an Act or a Role to indicate
               the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCod
              e complies.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr style="background: #EFEFEF">
          <td> 2</td> 
          <td>   HIPAASelfPay
            <a name="v3-ActUSPrivacyLaw-HIPAASelfPay"> </a>  
            <b> 
              <i> Deprecated</i> 
            </b> 
          </td> 
          <td> HIPAA self-pay</td> 
          <td> 
                        Section 13405(a) of the Health Information Technology for Economic
               and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures
               regarding certain health care items or services for which the individual pays out of pocket
               in full restricted from a health plan.
            <br/>  

                        
                           Definition: Non-disclosure of health information to a health
               plan relating to health care items or services for which an individual pays out of pocket
               in full.
            <br/>  

                        
                           Usage Note: May be associated with an Act or a Role to indicate
               the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCod
              e complies.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr style="background: #EFEFEF">
          <td> 2</td> 
          <td>   Title38Section7332
            <a name="v3-ActUSPrivacyLaw-Title38Section7332"> </a>  
            <b> 
              <i> Deprecated</i> 
            </b> 
          </td> 
          <td> Title 38 Section 7332</td> 
          <td> 
                        Title 38 Part 1-protected information may only be disclosed to
               a third party with the special written consent of the patient except where expressly authorized
               by 38 USC 7332. VA may disclose this information for specific purposes to: VA employees
               on a need to know basis - more restrictive than Privacy Act need to know; contractors
               who need the information in order to perform or fulfill the duties of the contract; and
               researchers who provide assurances that the information will not be identified in any
               report.  This information may also be disclosed without consent where patient lacks decision-making
               capacity; in a medical emergency for the purpose of treating a condition which poses an
               immediate threat to the health of any individual and which requires immediate medical
               intervention; for eye, tissue, or organ donation purposes; and disclosure of HIV information
               for public health purposes.
            <br/>  

                        
                           Definition: Title 38 Part 1 - §1.462 Confidentiality restrictions.
            <br/>  

                        
(a) General. The patient records to which §§1.460 through 1.499 of this part apply may
               be disclosed or used only as permitted by these regulations and may not otherwise be disclosed
               or used in any civil, criminal, administrative, or legislative proceedings conducted by
               any Federal, State, or local authority. Any disclosure made under these regulations must
               be limited to that information which is necessary to carry out the purpose of the disclosure.
               SUBCHAPTER III--PROTECTION OF PATIENT RIGHTS Sec. 7332. Confidentiality of certain medical
               records (a)(1) Records of the identity, diagnosis, prognosis, or treatment of any patient
               or subject which are maintained in connection with the performance of any program or activity
               (including education, training, treatment, rehabilitation, or research) relating to drug
               abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or
               sickle cell anemia which is carried out by or for the Department under this title shall,
               except as provided in subsections (e) and (f), be confidential, and (section 5701 of this
               title to the contrary notwithstanding) such records may be disclosed only for the purposes
               and under the circumstances expressly authorized under subsection (b).
            <br/>  

                        
                           Usage Note: May be associated with an Act or a Role to indicate
               the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCod
              e complies.
            <br/>  

                     
          </td> 
        </tr> 

      </table> 

    </div> 
  </text> 
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    <valueInteger value="0"/> 
  </extension> 
  <url value="http://terminology.hl7.org/CodeSystem/v3-ActUSPrivacyLaw"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.5.1138"/> 
  </identifier> 
  <version value="2019-07-31"/> 
  <name value="v3.ActUSPrivacyLaw"/> 
  <title value="v3 Code System ActUSPrivacyLaw"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <date value="2019-07-31T00:00:00+10:00"/> 
  <publisher value="HL7, Inc"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org"/> 
    </telecom> 
  </contact> 
  <description value=" A jurisdictional mandate in the US relating to privacy.   Deprecation Comment:
Content moved to ActCode under _ActPrivacyLaw; use that instead."/> 
  <caseSensitive value="true"/> 
  <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActUSPrivacyLaw"/> 
  <hierarchyMeaning value="is-a"/> 
  <content value="complete"/> 
  <property> 
    <code value="status"/> 
    <uri value="http://hl7.org/fhir/concept-properties#status"/> 
    <description value="A property that indicates the status of the concept. One of active, experimental, deprecated,
       retired"/> 
    <type value="code"/> 
  </property> 
  <property> 
    <code value="deprecationDate"/> 
    <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"/> 
    <description value="The date at which a concept was deprecated. Concepts that are deprecated but not inactive
       can still be used, but their use is discouraged"/> 
    <type value="dateTime"/> 
  </property> 
  <concept> 
    <code value="_ActUSPrivacyLaw"/> 
    <display value="ActUSPrivacyLaw"/> 
    <definition value="Definition: A jurisdictional mandate in the U.S. relating to privacy.

                        
                           Usage Note: ActPrivacyLaw codes may be associated with an Act
       or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode
       or Role.confidentialtyCode complies.  May be used to further specify rationale for assignment
       of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated
       from ETH and Title38Part1."/> 
    <property> 
      <code value="status"/> 
      <valueCode value="deprecated"/> 
    </property> 
    <property> 
      <code value="deprecationDate"/> 
      <valueDateTime value="2016-03-12"/> 
    </property> 
    <concept> 
      <code value="42CFRPart2"/> 
      <display value="42 CFR Part2"/> 
      <definition value="42 CFR Part 2 stipulates the right of an individual who has applied for or been given
         diagnosis or treatment for alcohol or drug abuse at a federally assisted program.

                        
                           Definition: Non-disclosure of health information relating to
         health care paid for by a federally assisted substance abuse program without patient consent.

                        
                           Usage Note: May be associated with an Act or a Role to indicate
         the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCod
        e complies."/> 
      <property> 
        <code value="status"/> 
        <valueCode value="deprecated"/> 
      </property> 
      <property> 
        <code value="deprecationDate"/> 
        <valueDateTime value="2016-03-12"/> 
      </property> 
    </concept> 
    <concept> 
      <code value="CommonRule"/> 
      <display value="Common Rule"/> 
      <definition value="U.S. Federal regulations governing the protection of human subjects in research (codified
         at Subpart A of 45 CFR part 46) that has been adopted by 15 U.S. Federal departments and
         agencies in an effort to promote uniformity, understanding, and compliance with human
         subject protections. Existing regulations governing the protection of human subjects in
         Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812)
         are separate from the Common Rule but include similar requirements.

                        
                           Definition: U.S. federal laws governing research-related privacy
         policies.

                        
                           Usage Note: May be associated with an Act or a Role to indicate
         the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode
         complies."/> 
      <property> 
        <code value="status"/> 
        <valueCode value="deprecated"/> 
      </property> 
      <property> 
        <code value="deprecationDate"/> 
        <valueDateTime value="2016-03-12"/> 
      </property> 
    </concept> 
    <concept> 
      <code value="HIPAANOPP"/> 
      <display value="HIPAA notice of privacy practices"/> 
      <definition value="The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA)
         Privacy Rule (45 CFR Part 164 Subpart E) permits access, use and disclosure of certain
         personal health information (PHI as defined under the law) for purposes of Treatment,
         Payment, and Operations, and requires that the provider ask that patients acknowledge
         the Provider's Notice of Privacy Practices as permitted conduct under the law.

                        
                           Definition: Notification of HIPAA Privacy Practices.

                        
                           Usage Note: May be associated with an Act or a Role to indicate
         the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode
         complies."/> 
      <property> 
        <code value="status"/> 
        <valueCode value="deprecated"/> 
      </property> 
      <property> 
        <code value="deprecationDate"/> 
        <valueDateTime value="2016-03-12"/> 
      </property> 
    </concept> 
    <concept> 
      <code value="HIPAAPsyNotes"/> 
      <display value="HIPAA psychotherapy notes"/> 
      <definition value="The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA)
         Privacy Rule (45 CFR Part 164 Section 164.508) requires authorization for certain uses
         and disclosure of psychotherapy notes.

                        
                           Definition: Authorization that must be obtained for disclosure
         of psychotherapy notes.

                        
                           Usage Note: May be associated with an Act or a Role to indicate
         the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCod
        e complies."/> 
      <property> 
        <code value="status"/> 
        <valueCode value="deprecated"/> 
      </property> 
      <property> 
        <code value="deprecationDate"/> 
        <valueDateTime value="2016-03-12"/> 
      </property> 
    </concept> 
    <concept> 
      <code value="HIPAASelfPay"/> 
      <display value="HIPAA self-pay"/> 
      <definition value="Section 13405(a) of the Health Information Technology for Economic and Clinical Health
         Act (HITECH) stipulates the right of an individual to have disclosures regarding certain
         health care items or services for which the individual pays out of pocket in full restricted
         from a health plan.

                        
                           Definition: Non-disclosure of health information to a health
         plan relating to health care items or services for which an individual pays out of pocket
         in full.

                        
                           Usage Note: May be associated with an Act or a Role to indicate
         the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCod
        e complies."/> 
      <property> 
        <code value="status"/> 
        <valueCode value="deprecated"/> 
      </property> 
      <property> 
        <code value="deprecationDate"/> 
        <valueDateTime value="2016-03-12"/> 
      </property> 
    </concept> 
    <concept> 
      <code value="Title38Section7332"/> 
      <display value="Title 38 Section 7332"/> 
      <definition value="Title 38 Part 1-protected information may only be disclosed to a third party with the
         special written consent of the patient except where expressly authorized by 38 USC 7332.
         VA may disclose this information for specific purposes to: VA employees on a need to know
         basis - more restrictive than Privacy Act need to know; contractors who need the information
         in order to perform or fulfill the duties of the contract; and researchers who provide
         assurances that the information will not be identified in any report.  This information
         may also be disclosed without consent where patient lacks decision-making capacity; in
         a medical emergency for the purpose of treating a condition which poses an immediate threat
         to the health of any individual and which requires immediate medical intervention; for
         eye, tissue, or organ donation purposes; and disclosure of HIV information for public
         health purposes.

                        
                           Definition: Title 38 Part 1 - §1.462 Confidentiality restrictions.

                        
(a) General. The patient records to which §§1.460 through 1.499 of this part apply may
         be disclosed or used only as permitted by these regulations and may not otherwise be disclosed
         or used in any civil, criminal, administrative, or legislative proceedings conducted by
         any Federal, State, or local authority. Any disclosure made under these regulations must
         be limited to that information which is necessary to carry out the purpose of the disclosure.
         SUBCHAPTER III--PROTECTION OF PATIENT RIGHTS Sec. 7332. Confidentiality of certain medical
         records (a)(1) Records of the identity, diagnosis, prognosis, or treatment of any patient
         or subject which are maintained in connection with the performance of any program or activity
         (including education, training, treatment, rehabilitation, or research) relating to drug
         abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or
         sickle cell anemia which is carried out by or for the Department under this title shall,
         except as provided in subsections (e) and (f), be confidential, and (section 5701 of this
         title to the contrary notwithstanding) such records may be disclosed only for the purposes
         and under the circumstances expressly authorized under subsection (b).

                        
                           Usage Note: May be associated with an Act or a Role to indicate
         the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCod
        e complies."/> 
      <property> 
        <code value="status"/> 
        <valueCode value="deprecated"/> 
      </property> 
      <property> 
        <code value="deprecationDate"/> 
        <valueDateTime value="2016-03-12"/> 
      </property> 
    </concept> 
  </concept> 
</CodeSystem> 

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.