Release 5
Security and PrivacyPublish-box (todo)
| Security Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Device, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
Example of using Provenance as De-Identifiation linkage with security tag protection, enabling Re-Identification with authorization.
{
"resourceType" : "Bundle",
"id" : "example-anon0",
"meta" : {
"lastUpdated" : "2014-08-18T01:43:30Z",
"security" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "V"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue",
"code" : "PSEUDED"
}]
},
"type" : "searchset",
"link" : [{
"relation" : "self",
"url" : "https://example.com/fhir/Patient/anon0/$everything"
}],
"entry" : [{
"fullUrl" : "http://example.org/fhir/Provenance/anon0",
"resource" : {
"resourceType" : "Provenance",
"id" : "anon0",
"meta" : {
"security" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "V"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue",
"code" : "PSEUDED"
}]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"anon0\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Provenance "anon0" </p><p style=\"margin-bottom: 0px\">Security Labels: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-Confidentiality http://terminology.hl7.org/CodeSystem/v3-Confidentiality}\">http://terminology.hl7.org/CodeSystem/v3-Confidentiality</span>, <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ObservationValue http://terminology.hl7.org/CodeSystem/v3-ObservationValue}\">http://terminology.hl7.org/CodeSystem/v3-ObservationValue</span></p></div><p><b>target</b>: <a href=\"broken-link.html\">http://example.org/fhir/Patient/anon0</a></p><p><b>recorded</b>: 27 June 2015, 8:39:24 am</p><p><b>policy</b>: <span title=\" policy would indicate the rules used for De-Identification, and appropriate purposes of use of the data \"><a href=\"http://example.org/policies/666\">http://example.org/policies/666</a></span></p><p><b>activity</b>: De-Identify (Anononymize) Record Lifecycle Event <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-iso-21089-lifecycle.html\">ISO 21089 2017 Health Record Lifecycle Events</a>#deidentify)</span></p><h3>Agents</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>Assembler <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-provenance-participant-type.html\">Provenance participant type</a>#assembler)</span></td><td><span>: Device/software</span></td></tr></table><h3>Entities</h3><table class=\"grid\"><tr><td>-</td><td><b>Role</b></td><td><b>What</b></td></tr><tr><td>*</td><td>source</td><td><a href=\"patient-example.html\">Patient/example</a> "Peter CHALMERS"</td></tr></table></div>"
},
"target" : [{
"reference" : "http://example.org/fhir/Patient/anon0"
}],
"recorded" : "2015-06-27T08:39:24+10:00",
"policy" : ["http://example.org/policies/666"],
"activity" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle",
"code" : "deidentify"
}]
},
"agent" : [{
"type" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code" : "assembler"
}]
},
"who" : {
"display" : "Device/software"
}
}],
"entity" : [{
"role" : "source",
"what" : {
"reference" : "Patient/example"
}
}]
},
"search" : {
"mode" : "match"
}
},
{
"fullUrl" : "http://example.org/fhir/Patient/anon0",
"resource" : {
"resourceType" : "Patient",
"id" : "anon0",
"meta" : {
"security" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "L"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue",
"code" : "PSEUDED"
}]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>First-0 Anon-0 </b> male, DoB: 1974-12-01</p><hr/></div>"
},
"name" : [{
"family" : "Anon-0",
"given" : ["First-0"]
}],
"gender" : "male",
"birthDate" : "1974-12-01"
},
"search" : {
"mode" : "match"
}
},
{
"fullUrl" : "http://example.org/fhir/Condition/anon0",
"resource" : {
"resourceType" : "Condition",
"id" : "anon0",
"meta" : {
"security" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "L"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue",
"code" : "PSEUDED"
}]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition</b><a name=\"anon0\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Condition "anon0" </p><p style=\"margin-bottom: 0px\">Security Labels: <span title=\"{http://terminology.hl7.org/CodeSystem/v3-Confidentiality http://terminology.hl7.org/CodeSystem/v3-Confidentiality}\">http://terminology.hl7.org/CodeSystem/v3-Confidentiality</span>, <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ObservationValue http://terminology.hl7.org/CodeSystem/v3-ObservationValue}\">http://terminology.hl7.org/CodeSystem/v3-ObservationValue</span></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#439401001 "Diagnosis")</span></p><p><b>severity</b>: Severe <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#24484000)</span></p><p><b>code</b>: Burn of ear <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#39065001)</span></p><p><b>bodySite</b>: Left external ear structure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#49521004)</span></p><p><b>subject</b>: <a href=\"broken-link.html\">Patient/anon0</a></p><p><b>onset</b>: <span title=\" dates aligned to first of month \">2012-05-01</span></p></div>"
},
"clinicalStatus" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}]
},
"verificationStatus" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed"
}]
},
"category" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
},
{
"system" : "http://snomed.info/sct",
"code" : "439401001",
"display" : "Diagnosis"
}]
}],
"severity" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "24484000",
"display" : "Severe"
}]
},
"code" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "39065001",
"display" : "Burn of ear"
}]
},
"bodySite" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "49521004",
"display" : "Left external ear structure"
}]
}],
"subject" : {
"reference" : "Patient/anon0"
},
"onsetDateTime" : "2012-05-01"
},
"search" : {
"mode" : "match"
}
}]
}
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.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0 generated on Sun, Mar 26, 2023 15:25+1100.
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