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NHIN Purpose of Use
{
"resourceType": "ValueSet",
"id": "nhin-purposeofuse",
"text": {
"status": "generated",
"div": "<div>\n <h2>NHIN PurposeOfUse</h2>\n <p>This value set is suitable for use with the provenance resource. It is derived from, but not compatible with, the HL7 v3 Purpose of use Code system.</p>\n <p>This value set has an inline code system http://healthit.gov/nhin/purposeofuse, which defines the following codes:</p>\n <table class=\"codes\">\n <tr>\n <td>\n <b>Code</b>\n </td>\n <td>\n <b>Display</b>\n </td>\n <td>\n <b>Definition</b>\n </td>\n <td>\n <b>\n <a href=\"v3\\PurposeOfUse\\index.html\">NHIN / V3 Mapping</a>\n </b>\n </td>\n </tr>\n <tr>\n <td>TREATMENT\n <a name=\"TREATMENT\"> </a>\n </td>\n <td>Treatment</td>\n <td>Treatment</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-TREAT\">TREAT</a>\n </td>\n </tr>\n <tr>\n <td>PAYMENT\n <a name=\"PAYMENT\"> </a>\n </td>\n <td>Payment</td>\n <td>Payment</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HPAYMT\">HPAYMT</a>\n </td>\n </tr>\n <tr>\n <td>OPERATIONS\n <a name=\"OPERATIONS\"> </a>\n </td>\n <td>Operations</td>\n <td>Healthcare Operations</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HOPERAT\">HOPERAT</a>\n </td>\n </tr>\n <tr>\n <td>SYSADMIN\n <a name=\"SYSADMIN\"> </a>\n </td>\n <td>Sysadmin</td>\n <td>System Administration</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-SYSADMIN\">SYSADMIN</a>\n </td>\n </tr>\n <tr>\n <td>FRAUD\n <a name=\"FRAUD\"> </a>\n </td>\n <td>Fraud</td>\n <td>Fraud detection</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-FRAUD\">FRAUD</a>\n </td>\n </tr>\n <tr>\n <td>PSYCHOTHERAPY\n <a name=\"PSYCHOTHERAPY\"> </a>\n </td>\n <td>Psychotherapy</td>\n <td>Use or disclosure of Psychotherapy Notes</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-PSYCHOTHERAPY\">PSYCHOTHERAPY</a>\n </td>\n </tr>\n <tr>\n <td>TRAINING\n <a name=\"TRAINING\"> </a>\n </td>\n <td>Training</td>\n <td>Use or disclosure by the covered entity for its own training programs</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-TRAINING\">TRAINING</a>\n </td>\n </tr>\n <tr>\n <td>LEGAL\n <a name=\"LEGAL\"> </a>\n </td>\n <td>Legal</td>\n <td>Use or disclosure by the covered entity to defend itself in a legal action</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL\">HLEGAL</a>\n </td>\n </tr>\n <tr>\n <td>MARKETING\n <a name=\"MARKETING\"> </a>\n </td>\n <td>Marketing</td>\n <td>Marketing</td>\n <td>\n <span title=\"narrower\">></span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HMARKT\">HMARKT</a>\n <i>(Not clear how much difference there is between 'marketing' and 'healthcare marketing')</i>\n </td>\n </tr>\n <tr>\n <td>DIRECTORY\n <a name=\"DIRECTORY\"> </a>\n </td>\n <td>Directory</td>\n <td>Use and disclosure for facility directories</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HDIRECT\">HDIRECT</a>\n </td>\n </tr>\n <tr>\n <td>FAMILY\n <a name=\"FAMILY\"> </a>\n </td>\n <td>Family</td>\n <td>Disclose to a family member, other relative, or a close personal friend of the individual</td>\n <td/>\n </tr>\n <tr>\n <td>PRESENT\n <a name=\"PRESENT\"> </a>\n </td>\n <td>Present</td>\n <td>Uses and disclosures with the individual present.</td>\n <td/>\n </tr>\n <tr>\n <td>EMERGENCY\n <a name=\"EMERGENCY\"> </a>\n </td>\n <td>Emergency</td>\n <td>Permission cannot practicably be provided because of the individual's incapacity or an emergency.</td>\n <td/>\n </tr>\n <tr>\n <td>DISASTER\n <a name=\"DISASTER\"> </a>\n </td>\n <td>Disaster</td>\n <td>Use and disclosures for disaster relief purposes.</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-DISASTER\">DISASTER</a>\n </td>\n </tr>\n <tr>\n <td>PUBLICHEALTH\n <a name=\"PUBLICHEALTH\"> </a>\n </td>\n <td>Public Health</td>\n <td>Uses and disclosures for public health activities.</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-PUBHLTH\">PUBHLTH</a>\n </td>\n </tr>\n <tr>\n <td>ABUSE\n <a name=\"ABUSE\"> </a>\n </td>\n <td>Abuse</td>\n <td>Disclosures about victims of abuse, neglect or domestic violence.</td>\n <td/>\n </tr>\n <tr>\n <td>OVERSIGHT\n <a name=\"OVERSIGHT\"> </a>\n </td>\n <td>Oversight</td>\n <td>Uses and disclosures for health oversight activities.</td>\n <td/>\n </tr>\n <tr>\n <td>JUDICIAL\n <a name=\"JUDICIAL\"> </a>\n </td>\n <td>Judicial</td>\n <td>Disclosures for judicial and administrative proceedings.</td>\n <td>\n <span title=\"wider\"><</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL\">HLEGAL</a>\n </td>\n </tr>\n <tr>\n <td>LAW\n <a name=\"LAW\"> </a>\n </td>\n <td>Law Enforcement</td>\n <td>Disclosures for law enforcement purposes.</td>\n <td>\n <span title=\"wider\"><</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL\">HLEGAL</a>\n </td>\n </tr>\n <tr>\n <td>DECEASED\n <a name=\"DECEASED\"> </a>\n </td>\n <td>Deceased</td>\n <td>Uses and disclosures about decedents.</td>\n <td/>\n </tr>\n <tr>\n <td>DONATION\n <a name=\"DONATION\"> </a>\n </td>\n <td>Donation</td>\n <td>Uses and disclosures for cadaveric organ, eye or tissue donation purposes</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-DONAT\">DONAT</a>\n </td>\n </tr>\n <tr>\n <td>RESEARCH\n <a name=\"RESEARCH\"> </a>\n </td>\n <td>Research</td>\n <td>Uses and disclosures for research purposes.</td>\n <td>\n <span title=\"narrower\">></span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HRESCH\">HRESCH</a>\n <i>(Not clear how much difference there is between 'research' and 'healthcare research')</i>\n </td>\n </tr>\n <tr>\n <td>THREAT\n <a name=\"THREAT\"> </a>\n </td>\n <td>Threat</td>\n <td>Uses and disclosures to avert a serious threat to health or safety.</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-THREAT\">THREAT</a>\n </td>\n </tr>\n <tr>\n <td>GOVERNMENT\n <a name=\"GOVERNMENT\"> </a>\n </td>\n <td>Government</td>\n <td>Uses and disclosures for specialized government functions.</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-GOV\">GOV</a>\n </td>\n </tr>\n <tr>\n <td>WORKERSCOMP\n <a name=\"WORKERSCOMP\"> </a>\n </td>\n <td>Worker's Comp</td>\n <td>Disclosures for workers' compensation.</td>\n <td/>\n </tr>\n <tr>\n <td>COVERAGE\n <a name=\"COVERAGE\"> </a>\n </td>\n <td>Coverage</td>\n <td>Disclosures for insurance or disability coverage determination</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-OVAUTH\">OVAUTH</a>\n </td>\n </tr>\n <tr>\n <td>REQUEST\n <a name=\"REQUEST\"> </a>\n </td>\n <td>Request</td>\n <td>Request of the Individual</td>\n <td>\n <span title=\"equivalent\">~</span>\n <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-PATRQT\">PATRQT</a>\n </td>\n </tr>\n </table>\n </div>"
},
"contained": [
{
"resourceType": "ConceptMap",
"id": "map",
"name": "NHIN / V3 Mapping",
"status": "draft",
"sourceReference": {
"reference": "http://hl7.org/fhir/ValueSet/nhin-purposeofuse"
},
"targetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-PurposeOfUse"
},
"element": [
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "TREATMENT",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "TREAT",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "PAYMENT",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "HPAYMT",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "OPERATIONS",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "HOPERAT",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "SYSADMIN",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "SYSADMIN",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "FRAUD",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "FRAUD",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "PSYCHOTHERAPY",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "PSYCHOTHERAPY",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "TRAINING",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "TRAINING",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "LEGAL",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "HLEGAL",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "MARKETING",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "HMARKT",
"equivalence": "narrower",
"comments": "Not clear how much difference there is between 'marketing' and 'healthcare marketing'"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "DIRECTORY",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "HDIRECT",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "DISASTER",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "DISASTER",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "PUBLICHEALTH",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "PUBHLTH",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "JUDICIAL",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "HLEGAL",
"equivalence": "wider"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "LAW",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "HLEGAL",
"equivalence": "wider"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "DONATION",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "DONAT",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "RESEARCH",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "HRESCH",
"equivalence": "narrower",
"comments": "Not clear how much difference there is between 'research' and 'healthcare research'"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "THREAT",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "THREAT",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "GOVERNMENT",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "GOV",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "COVERAGE",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "OVAUTH",
"equivalence": "equivalent"
}
]
},
{
"codeSystem": "http://healthit.gov/nhin/purposeofuse",
"code": "REQUEST",
"target": [
{
"codeSystem": "http://hl7.org/fhir/v3/ActReason",
"code": "PATRQT",
"equivalence": "equivalent"
}
]
}
]
}
],
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-map",
"valueReference": {
"reference": "#map"
}
}
],
"url": "http://hl7.org/fhir/ValueSet/nhin-purposeofuse",
"_url": {
"fhir_comments": [
" set of loinc codes for cholesterol for LONC 2.36 "
]
},
"version": "2.0",
"name": "NHIN PurposeOfUse",
"status": "active",
"experimental": false,
"publisher": "Nationwide Health Information Network (NHIN)",
"contact": [
{
"telecom": [
{
"system": "other",
"value": "https://www.healthit.gov/sites/default/files/nhin-authorization-framework-production-specification-v2.0-1.pdf"
}
]
}
],
"date": "2010-01-29",
"description": "This value set is suitable for use with the provenance resource. It is derived from, but not compatible with, the HL7 v3 Purpose of use Code system.",
"codeSystem": {
"system": "http://healthit.gov/nhin/purposeofuse",
"version": "2.0",
"caseSensitive": true,
"concept": [
{
"code": "TREATMENT",
"display": "Treatment",
"definition": "Treatment"
},
{
"code": "PAYMENT",
"display": "Payment",
"definition": "Payment"
},
{
"code": "OPERATIONS",
"display": "Operations",
"definition": "Healthcare Operations"
},
{
"code": "SYSADMIN",
"display": "Sysadmin",
"definition": "System Administration"
},
{
"code": "FRAUD",
"display": "Fraud",
"definition": "Fraud detection"
},
{
"code": "PSYCHOTHERAPY",
"display": "Psychotherapy",
"definition": "Use or disclosure of Psychotherapy Notes"
},
{
"code": "TRAINING",
"display": "Training",
"definition": "Use or disclosure by the covered entity for its own training programs"
},
{
"code": "LEGAL",
"display": "Legal",
"definition": "Use or disclosure by the covered entity to defend itself in a legal action"
},
{
"code": "MARKETING",
"display": "Marketing",
"definition": "Marketing"
},
{
"code": "DIRECTORY",
"display": "Directory",
"definition": "Use and disclosure for facility directories"
},
{
"code": "FAMILY",
"display": "Family",
"definition": "Disclose to a family member, other relative, or a close personal friend of the individual"
},
{
"code": "PRESENT",
"display": "Present",
"definition": "Uses and disclosures with the individual present."
},
{
"code": "EMERGENCY",
"display": "Emergency",
"definition": "Permission cannot practicably be provided because of the individual's incapacity or an emergency."
},
{
"code": "DISASTER",
"display": "Disaster",
"definition": "Use and disclosures for disaster relief purposes."
},
{
"code": "PUBLICHEALTH",
"display": "Public Health",
"definition": "Uses and disclosures for public health activities."
},
{
"code": "ABUSE",
"display": "Abuse",
"definition": "Disclosures about victims of abuse, neglect or domestic violence."
},
{
"code": "OVERSIGHT",
"display": "Oversight",
"definition": "Uses and disclosures for health oversight activities."
},
{
"code": "JUDICIAL",
"display": "Judicial",
"definition": "Disclosures for judicial and administrative proceedings."
},
{
"code": "LAW",
"display": "Law Enforcement",
"definition": "Disclosures for law enforcement purposes."
},
{
"code": "DECEASED",
"display": "Deceased",
"definition": "Uses and disclosures about decedents."
},
{
"code": "DONATION",
"display": "Donation",
"definition": "Uses and disclosures for cadaveric organ, eye or tissue donation purposes"
},
{
"code": "RESEARCH",
"display": "Research",
"definition": "Uses and disclosures for research purposes."
},
{
"code": "THREAT",
"display": "Threat",
"definition": "Uses and disclosures to avert a serious threat to health or safety."
},
{
"code": "GOVERNMENT",
"display": "Government",
"definition": "Uses and disclosures for specialized government functions."
},
{
"code": "WORKERSCOMP",
"display": "Worker's Comp",
"definition": "Disclosures for workers' compensation."
},
{
"code": "COVERAGE",
"display": "Coverage",
"definition": "Disclosures for insurance or disability coverage determination"
},
{
"code": "REQUEST",
"display": "Request",
"definition": "Request of the Individual"
}
]
}
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.