DSTU2

This page is part of the FHIR Specification (v1.0.2: DSTU 2). 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

Valueset-nhin-purposeofuse.xml

Raw XML (canonical form)

NHIN Purpose of Use (id = "nhin-purposeofuse")

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="nhin-purposeofuse"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>NHIN PurposeOfUse</h2>
      <p>This value set is suitable for use with the provenance resource. It is derived from, but
         not compatible with, the HL7 v3 Purpose of use Code system.</p>
      <p>This value set has an inline code system http://healthit.gov/nhin/purposeofuse, which
         defines the following codes:</p>
      <table class="codes">
        <tr>
          <td>
            <b>Code</b>
          </td>
          <td>
            <b>Display</b>
          </td>
          <td>
            <b>Definition</b>
          </td>
          <td>
            <b>
              <a href="v3\PurposeOfUse\index.html">NHIN / V3 Mapping</a>
            </b>
          </td>
        </tr>
        <tr>
          <td>TREATMENT
            <a name="TREATMENT"> </a>
          </td>
          <td>Treatment</td>
          <td>Treatment</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-TREAT">TREAT</a>
          </td>
        </tr>
        <tr>
          <td>PAYMENT
            <a name="PAYMENT"> </a>
          </td>
          <td>Payment</td>
          <td>Payment</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HPAYMT">HPAYMT</a>
          </td>
        </tr>
        <tr>
          <td>OPERATIONS
            <a name="OPERATIONS"> </a>
          </td>
          <td>Operations</td>
          <td>Healthcare Operations</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HOPERAT">HOPERAT</a>
          </td>
        </tr>
        <tr>
          <td>SYSADMIN
            <a name="SYSADMIN"> </a>
          </td>
          <td>Sysadmin</td>
          <td>System Administration</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-SYSADMIN">SYSADMIN</a>
          </td>
        </tr>
        <tr>
          <td>FRAUD
            <a name="FRAUD"> </a>
          </td>
          <td>Fraud</td>
          <td>Fraud detection</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-FRAUD">FRAUD</a>
          </td>
        </tr>
        <tr>
          <td>PSYCHOTHERAPY
            <a name="PSYCHOTHERAPY"> </a>
          </td>
          <td>Psychotherapy</td>
          <td>Use or disclosure of Psychotherapy Notes</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-PSYCHOTHERAPY">PSYCHOTHERAPY</a>
          </td>
        </tr>
        <tr>
          <td>TRAINING
            <a name="TRAINING"> </a>
          </td>
          <td>Training</td>
          <td>Use or disclosure by the covered entity for its own training programs</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-TRAINING">TRAINING</a>
          </td>
        </tr>
        <tr>
          <td>LEGAL
            <a name="LEGAL"> </a>
          </td>
          <td>Legal</td>
          <td>Use or disclosure by the covered entity to defend itself in a legal action</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL">HLEGAL</a>
          </td>
        </tr>
        <tr>
          <td>MARKETING
            <a name="MARKETING"> </a>
          </td>
          <td>Marketing</td>
          <td>Marketing</td>
          <td>
            <span title="narrower">&gt;</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HMARKT">HMARKT</a>
            <i>(Not clear how much difference there is between 'marketing' and 'healthcare marketing')</i>
          </td>
        </tr>
        <tr>
          <td>DIRECTORY
            <a name="DIRECTORY"> </a>
          </td>
          <td>Directory</td>
          <td>Use and disclosure for facility directories</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HDIRECT">HDIRECT</a>
          </td>
        </tr>
        <tr>
          <td>FAMILY
            <a name="FAMILY"> </a>
          </td>
          <td>Family</td>
          <td>Disclose to a family member, other relative, or a close personal friend of the individual</td>
          <td/>
        </tr>
        <tr>
          <td>PRESENT
            <a name="PRESENT"> </a>
          </td>
          <td>Present</td>
          <td>Uses and disclosures with the individual present.</td>
          <td/>
        </tr>
        <tr>
          <td>EMERGENCY
            <a name="EMERGENCY"> </a>
          </td>
          <td>Emergency</td>
          <td>Permission cannot practicably be provided because of the individual's incapacity or an
             emergency.</td>
          <td/>
        </tr>
        <tr>
          <td>DISASTER
            <a name="DISASTER"> </a>
          </td>
          <td>Disaster</td>
          <td>Use and disclosures for disaster relief purposes.</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-DISASTER">DISASTER</a>
          </td>
        </tr>
        <tr>
          <td>PUBLICHEALTH
            <a name="PUBLICHEALTH"> </a>
          </td>
          <td>Public Health</td>
          <td>Uses and disclosures for public health activities.</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-PUBHLTH">PUBHLTH</a>
          </td>
        </tr>
        <tr>
          <td>ABUSE
            <a name="ABUSE"> </a>
          </td>
          <td>Abuse</td>
          <td>Disclosures about victims of abuse, neglect or domestic violence.</td>
          <td/>
        </tr>
        <tr>
          <td>OVERSIGHT
            <a name="OVERSIGHT"> </a>
          </td>
          <td>Oversight</td>
          <td>Uses and disclosures for health oversight activities.</td>
          <td/>
        </tr>
        <tr>
          <td>JUDICIAL
            <a name="JUDICIAL"> </a>
          </td>
          <td>Judicial</td>
          <td>Disclosures for judicial and administrative proceedings.</td>
          <td>
            <span title="wider">&lt;</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL">HLEGAL</a>
          </td>
        </tr>
        <tr>
          <td>LAW
            <a name="LAW"> </a>
          </td>
          <td>Law Enforcement</td>
          <td>Disclosures for law enforcement purposes.</td>
          <td>
            <span title="wider">&lt;</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL">HLEGAL</a>
          </td>
        </tr>
        <tr>
          <td>DECEASED
            <a name="DECEASED"> </a>
          </td>
          <td>Deceased</td>
          <td>Uses and disclosures about decedents.</td>
          <td/>
        </tr>
        <tr>
          <td>DONATION
            <a name="DONATION"> </a>
          </td>
          <td>Donation</td>
          <td>Uses and disclosures for cadaveric organ,  eye or tissue donation purposes</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-DONAT">DONAT</a>
          </td>
        </tr>
        <tr>
          <td>RESEARCH
            <a name="RESEARCH"> </a>
          </td>
          <td>Research</td>
          <td>Uses and disclosures for research purposes.</td>
          <td>
            <span title="narrower">&gt;</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HRESCH">HRESCH</a>
            <i>(Not clear how much difference there is between 'research' and 'healthcare research')</i>
          </td>
        </tr>
        <tr>
          <td>THREAT
            <a name="THREAT"> </a>
          </td>
          <td>Threat</td>
          <td>Uses and disclosures to avert a serious threat to health or safety.</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-THREAT">THREAT</a>
          </td>
        </tr>
        <tr>
          <td>GOVERNMENT
            <a name="GOVERNMENT"> </a>
          </td>
          <td>Government</td>
          <td>Uses and disclosures for specialized government functions.</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-GOV">GOV</a>
          </td>
        </tr>
        <tr>
          <td>WORKERSCOMP
            <a name="WORKERSCOMP"> </a>
          </td>
          <td>Worker's Comp</td>
          <td>Disclosures for workers' compensation.</td>
          <td/>
        </tr>
        <tr>
          <td>COVERAGE
            <a name="COVERAGE"> </a>
          </td>
          <td>Coverage</td>
          <td>Disclosures for insurance or disability coverage determination</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-OVAUTH">OVAUTH</a>
          </td>
        </tr>
        <tr>
          <td>REQUEST
            <a name="REQUEST"> </a>
          </td>
          <td>Request</td>
          <td>Request of the Individual</td>
          <td>
            <span title="equivalent">~</span>
            <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-PATRQT">PATRQT</a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <contained>
    <ConceptMap>
      <id value="map"/>
      <name value="NHIN / V3 Mapping"/>
      <status value="draft"/>
      <sourceReference>
        <reference value="http://hl7.org/fhir/ValueSet/nhin-purposeofuse"/>
      </sourceReference>
      <targetReference>
        <reference value="http://hl7.org/fhir/ValueSet/v3-PurposeOfUse"/>
      </targetReference>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="TREATMENT"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="TREAT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="PAYMENT"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HPAYMT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="OPERATIONS"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HOPERAT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="SYSADMIN"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="SYSADMIN"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="FRAUD"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="FRAUD"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="PSYCHOTHERAPY"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="PSYCHOTHERAPY"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="TRAINING"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="TRAINING"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="LEGAL"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HLEGAL"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="MARKETING"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HMARKT"/>
          <equivalence value="narrower"/>
          <comments value="Not clear how much difference there is between 'marketing' and 'healthcare marketing'"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="DIRECTORY"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HDIRECT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="DISASTER"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="DISASTER"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="PUBLICHEALTH"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="PUBHLTH"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="JUDICIAL"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HLEGAL"/>
          <equivalence value="wider"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="LAW"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HLEGAL"/>
          <equivalence value="wider"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="DONATION"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="DONAT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="RESEARCH"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="HRESCH"/>
          <equivalence value="narrower"/>
          <comments value="Not clear how much difference there is between 'research' and 'healthcare research'"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="THREAT"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="THREAT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="GOVERNMENT"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="GOV"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="COVERAGE"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="OVAUTH"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
      <element>
        <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
        <code value="REQUEST"/>
        <target>
          <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
          <code value="PATRQT"/>
          <equivalence value="equivalent"/>
        </target>
      </element>
    </ConceptMap>
  </contained>
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-map">
    <valueReference>
      <reference value="#map"/>
    </valueReference>
  </extension>
<!--       set of loinc codes for cholesterol for LONC 2.36       -->
  <url value="http://hl7.org/fhir/ValueSet/nhin-purposeofuse"/>
  <version value="2.0"/>
  <name value="NHIN PurposeOfUse"/>
  <status value="active"/>
  <experimental value="false"/>
  <publisher value="Nationwide Health Information Network (NHIN)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="https://www.healthit.gov/sites/default/files/nhin-authorization-framework-production-specification-v
      2.0-1.pdf"/>
    </telecom>
  </contact>
  <date value="2010-01-29"/>
  <description value="This value set is suitable for use with the provenance resource. It is derived from, but
   not compatible with, the HL7 v3 Purpose of use Code system."/>
  <codeSystem>
    <system value="http://healthit.gov/nhin/purposeofuse"/>
    <version value="2.0"/>
    <caseSensitive value="true"/>
    <concept>
      <code value="TREATMENT"/>
      <display value="Treatment"/>
      <definition value="Treatment"/>
    </concept>
    <concept>
      <code value="PAYMENT"/>
      <display value="Payment"/>
      <definition value="Payment"/>
    </concept>
    <concept>
      <code value="OPERATIONS"/>
      <display value="Operations"/>
      <definition value="Healthcare Operations"/>
    </concept>
    <concept>
      <code value="SYSADMIN"/>
      <display value="Sysadmin"/>
      <definition value="System Administration"/>
    </concept>
    <concept>
      <code value="FRAUD"/>
      <display value="Fraud"/>
      <definition value="Fraud detection"/>
    </concept>
    <concept>
      <code value="PSYCHOTHERAPY"/>
      <display value="Psychotherapy"/>
      <definition value="Use or disclosure of Psychotherapy Notes"/>
    </concept>
    <concept>
      <code value="TRAINING"/>
      <display value="Training"/>
      <definition value="Use or disclosure by the covered entity for its own training programs"/>
    </concept>
    <concept>
      <code value="LEGAL"/>
      <display value="Legal"/>
      <definition value="Use or disclosure by the covered entity to defend itself in a legal action"/>
    </concept>
    <concept>
      <code value="MARKETING"/>
      <display value="Marketing"/>
      <definition value="Marketing"/>
    </concept>
    <concept>
      <code value="DIRECTORY"/>
      <display value="Directory"/>
      <definition value="Use and disclosure for facility directories"/>
    </concept>
    <concept>
      <code value="FAMILY"/>
      <display value="Family"/>
      <definition value="Disclose to a family member, other relative, or a close personal friend of the individual"/>
    </concept>
    <concept>
      <code value="PRESENT"/>
      <display value="Present"/>
      <definition value="Uses and disclosures with the individual present."/>
    </concept>
    <concept>
      <code value="EMERGENCY"/>
      <display value="Emergency"/>
      <definition value="Permission cannot practicably be provided because of the individual's incapacity or an
       emergency."/>
    </concept>
    <concept>
      <code value="DISASTER"/>
      <display value="Disaster"/>
      <definition value="Use and disclosures for disaster relief purposes."/>
    </concept>
    <concept>
      <code value="PUBLICHEALTH"/>
      <display value="Public Health"/>
      <definition value="Uses and disclosures for public health activities."/>
    </concept>
    <concept>
      <code value="ABUSE"/>
      <display value="Abuse"/>
      <definition value="Disclosures about victims of abuse, neglect or domestic violence."/>
    </concept>
    <concept>
      <code value="OVERSIGHT"/>
      <display value="Oversight"/>
      <definition value="Uses and disclosures for health oversight activities."/>
    </concept>
    <concept>
      <code value="JUDICIAL"/>
      <display value="Judicial"/>
      <definition value="Disclosures for judicial and administrative proceedings."/>
    </concept>
    <concept>
      <code value="LAW"/>
      <display value="Law Enforcement"/>
      <definition value="Disclosures for law enforcement purposes."/>
    </concept>
    <concept>
      <code value="DECEASED"/>
      <display value="Deceased"/>
      <definition value="Uses and disclosures about decedents."/>
    </concept>
    <concept>
      <code value="DONATION"/>
      <display value="Donation"/>
      <definition value="Uses and disclosures for cadaveric organ,  eye or tissue donation purposes"/>
    </concept>
    <concept>
      <code value="RESEARCH"/>
      <display value="Research"/>
      <definition value="Uses and disclosures for research purposes."/>
    </concept>
    <concept>
      <code value="THREAT"/>
      <display value="Threat"/>
      <definition value="Uses and disclosures to avert a serious threat to health or safety."/>
    </concept>
    <concept>
      <code value="GOVERNMENT"/>
      <display value="Government"/>
      <definition value="Uses and disclosures for specialized government functions."/>
    </concept>
    <concept>
      <code value="WORKERSCOMP"/>
      <display value="Worker's Comp"/>
      <definition value="Disclosures for workers' compensation."/>
    </concept>
    <concept>
      <code value="COVERAGE"/>
      <display value="Coverage"/>
      <definition value="Disclosures for insurance or disability coverage determination"/>
    </concept>
    <concept>
      <code value="REQUEST"/>
      <display value="Request"/>
      <definition value="Request of the Individual"/>
    </concept>
  </codeSystem>
</ValueSet>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.