FHIR Cross-Version Extensions package for FHIR R4B from FHIR R3 - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 0 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R3-v3-xBasicConfidentialityKind-for-R4B"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R3-v3-xBasicConfidentialityKind-for-R4B</b></p><a name="R3-v3-xBasicConfidentialityKind-for-R4B"> </a><a name="hcR3-v3-xBasicConfidentialityKind-for-R4B"> </a><p>This value set expansion contains 3 concepts.</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap"><a name="R3-v3-xBasicConfidentialityKind-for-R4B-http://hl7.org/fhir/v3/Confidentiality-N"> </a> <a href="CodeSystem-v3-Confidentiality.html#v3-Confidentiality-N">N</a></td><td>http://hl7.org/fhir/v3/Confidentiality</td><td>normal</td><td><div><p>Definition: Privacy metadata indicating that the information is typical, non-stigmatizing health information, which presents typical risk of harm if disclosed without authorization.</p>
<pre><code> 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.
</code></pre>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R3-v3-xBasicConfidentialityKind-for-R4B-http://hl7.org/fhir/v3/Confidentiality-R"> </a> <a href="CodeSystem-v3-Confidentiality.html#v3-Confidentiality-R">R</a></td><td>http://hl7.org/fhir/v3/Confidentiality</td><td>restricted</td><td><div><p>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.</p>
<pre><code> 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..
</code></pre>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R3-v3-xBasicConfidentialityKind-for-R4B-http://hl7.org/fhir/v3/Confidentiality-V"> </a> <a href="CodeSystem-v3-Confidentiality.html#v3-Confidentiality-V">V</a></td><td>http://hl7.org/fhir/v3/Confidentiality</td><td>very restricted</td><td><div><p>. 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.</p>
<pre><code> 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.
</code></pre>
</div></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r3.r4b"/>
</extension>
<extension url="version">
<valueString value="0.0.1-snapshot-2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/3.0/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/3.0/ValueSet/R3-v3-xBasicConfidentialityKind-for-R4B"/>
<version value="0.0.1-snapshot-2"/>
<name value="R3_v3_xBasicConfidentialityKind_for_R4B"/>
<title
value="Cross-version VS for R3.x_BasicConfidentialityKind for use in FHIR R4B"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-09-01T22:36:01.552736+10:00"/>
<publisher value="FHIR Infrastructure"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/v3-xBasicConfidentialityKind|2014-03-26 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R3 to R4B."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<compose>
<include>
<system value="http://hl7.org/fhir/v3/Confidentiality"/>
<version value="2016-11-11"/>
<concept>
<code value="N"/>
<display value="normal"/>
</concept>
<concept>
<code value="R"/>
<display value="restricted"/>
</concept>
<concept>
<code value="V"/>
<display value="very restricted"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2025-09-01T22:36:01.552734+10:00"/>
<contains>
<system value="http://hl7.org/fhir/v3/Confidentiality"/>
<version value="2016-11-11"/>
<code value="N"/>
<display value="normal"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v3/Confidentiality"/>
<version value="2016-11-11"/>
<code value="R"/>
<display value="restricted"/>
</contains>
<contains>
<system value="http://hl7.org/fhir/v3/Confidentiality"/>
<version value="2016-11-11"/>
<code value="V"/>
<display value="very restricted"/>
</contains>
</expansion>
</ValueSet>