Extensions for Using Data Elements from FHIR STU3 in FHIR R4B
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Extensions for Using Data Elements from FHIR STU3 in FHIR R4B - Downloaded Version null See the Directory of published versions

: R3V3RefrainPolicyForR4B - XML Representation

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R3-v3-RefrainPolicy-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-RefrainPolicy-for-R4B</b></p><a name="R3-v3-RefrainPolicy-for-R4B"> </a><a name="hcR3-v3-RefrainPolicy-for-R4B"> </a><p>This value set expansion contains 18 concepts.</p><table class="codes"><tr><td><b>System</b></td><td><b>Version</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NOAUTH"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NOAUTH">NOAUTH</a></td><td>no disclosure without subject authorization</td><td><div><p>Prohibition on disclosure without information subject's authorization.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NOCOLLECT"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NOCOLLECT">NOCOLLECT</a></td><td>no collection</td><td><div><p>Prohibition on collection or storage of the information.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NODSCLCD"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NODSCLCD">NODSCLCD</a></td><td>no disclosure without consent directive</td><td><div><p>Prohibition on disclosure without organizational approved patient restriction.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NODSCLCDS"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NODSCLCDS">NODSCLCDS</a></td><td>no disclosure without information subject's consent directive</td><td><div><p>Prohibition on disclosure without a consent directive from the information subject.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NOINTEGRATE"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NOINTEGRATE">NOINTEGRATE</a></td><td>no integration</td><td><div><p>Prohibition on Integration into other records.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NOLIST"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NOLIST">NOLIST</a></td><td>no unlisted entity disclosure</td><td><div><p>Prohibition on disclosure except to entities on specific access list.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NOMOU"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NOMOU">NOMOU</a></td><td>no disclosure without MOU</td><td><div><p>Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NOORGPOL"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NOORGPOL">NOORGPOL</a></td><td>no disclosure without organizational authorization</td><td><div><p>Prohibition on disclosure without organizational authorization.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NOPAT"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NOPAT">NOPAT</a></td><td>no disclosure to patient, family or caregivers without attending provider's authorization</td><td><div><p>Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization.</p>
<pre><code>                       Usage Note: The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access.

                    Maps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance.

                    FHIR print name is &quot;keep information from patient&quot;. Maps to the French realm - code: INVISIBLE_PATIENT.

                    
                       displayName: Document non visible par le patient
                       codingScheme: 1.2.250.1.213.1.1.4.13
                    
                    French use case:  A label for documents that the author  chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone).
</code></pre>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NOPERSISTP"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NOPERSISTP">NOPERSISTP</a></td><td>no collection beyond purpose of use</td><td><div><p>Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NORDSCLCD"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NORDSCLCD">NORDSCLCD</a></td><td>no redisclosure without consent directive</td><td><div><p>Prohibition on redisclosure without patient consent directive.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NORDSCLCDS"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NORDSCLCDS">NORDSCLCDS</a></td><td>no redisclosure without information subject's consent directive</td><td><div><p>Prohibition on redisclosure without a consent directive from the information subject.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NORDSCLW"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NORDSCLW">NORDSCLW</a></td><td>no disclosure without jurisdictional authorization</td><td><div><p>Prohibition on disclosure without authorization under jurisdictional law.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NORELINK"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NORELINK">NORELINK</a></td><td>no relinking</td><td><div><p>Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NOREUSE"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NOREUSE">NOREUSE</a></td><td>no reuse beyond purpose of use</td><td><div><p>Prohibition on use of the information beyond the purpose of use initially authorized.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-NOVIP"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-NOVIP">NOVIP</a></td><td>no unauthorized VIP disclosure</td><td><div><p>Prohibition on disclosure except to principals with access permission to specific VIP information.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-ORCON"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-ORCON">ORCON</a></td><td>no disclosure without originator authorization</td><td><div><p>Prohibition on disclosure except as permitted by the information originator.</p>
</div></td></tr><tr><td><a name="R3-v3-RefrainPolicy-for-R4B-http://hl7.org/fhir/v3/ActCode-RefrainPolicy"> </a><code>http://hl7.org/fhir/v3/ActCode</code></td><td>2016-11-11</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActCode.html#v3-ActCode-RefrainPolicy">RefrainPolicy</a></td><td>refrain policy</td><td><div><p>Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.</p>
<pre><code>                       Usage Notes: ISO 22600-2 species that a Refrain Policy &quot;defines actions the subjects must refrain from performing&quot;.  Per HL7 Composite Security and Privacy Domain Analysis Model:  May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.
</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="0.1.0"/>
    </extension>
    <extension url="uri">
      <valueUri
                value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ValueSet/R3-v3-RefrainPolicy-for-R4B"/>
  <version value="0.1.0"/>
  <name value="R3V3RefrainPolicyForR4B"/>
  <title
         value="Cross-version ValueSet STU3.RefrainPolicy for use in FHIR R4B"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <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 content from `http://hl7.org/fhir/ValueSet/v3-RefrainPolicy|2014-03-26` for use in FHIR R4B."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose
           value="This value set is part of the cross-version definitions generated to enable use of the
value set `http://hl7.org/fhir/ValueSet/v3-RefrainPolicy|2014-03-26` as defined in FHIR STU3
in FHIR R4B.

The source value set is bound to the following FHIR STU3 elements:
* 

Across FHIR versions, the value set has been mapped as:
* `http://hl7.org/fhir/ValueSet/v3-RefrainPolicy|2014-03-26`
* `http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2014-03-26`

Note that all concepts are included in this cross-version definition because no concepts have compatible representations

Following are the generation technical comments:
All concepts in the comparison are listed as identical.
The source value set has more active concepts (18) than the target (1), so the source is broader than the target.
FHIR ValueSet `http://hl7.org/fhir/ValueSet/v3-RefrainPolicy|2014-03-26`, defined in FHIR STU3 does not have any mapping to FHIR R4B"/>
  <compose>
    <include>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <concept>
        <code value="NOAUTH"/>
        <display value="no disclosure without subject authorization"/>
      </concept>
      <concept>
        <code value="NOCOLLECT"/>
        <display value="no collection"/>
      </concept>
      <concept>
        <code value="NODSCLCD"/>
        <display value="no disclosure without consent directive"/>
      </concept>
      <concept>
        <code value="NODSCLCDS"/>
        <display
                 value="no disclosure without information subject's consent directive"/>
      </concept>
      <concept>
        <code value="NOINTEGRATE"/>
        <display value="no integration"/>
      </concept>
      <concept>
        <code value="NOLIST"/>
        <display value="no unlisted entity disclosure"/>
      </concept>
      <concept>
        <code value="NOMOU"/>
        <display value="no disclosure without MOU"/>
      </concept>
      <concept>
        <code value="NOORGPOL"/>
        <display value="no disclosure without organizational authorization"/>
      </concept>
      <concept>
        <code value="NOPAT"/>
        <display
                 value="no disclosure to patient, family or caregivers without attending provider's authorization"/>
      </concept>
      <concept>
        <code value="NOPERSISTP"/>
        <display value="no collection beyond purpose of use"/>
      </concept>
      <concept>
        <code value="NORDSCLCD"/>
        <display value="no redisclosure without consent directive"/>
      </concept>
      <concept>
        <code value="NORDSCLCDS"/>
        <display
                 value="no redisclosure without information subject's consent directive"/>
      </concept>
      <concept>
        <code value="NORDSCLW"/>
        <display value="no disclosure without jurisdictional authorization"/>
      </concept>
      <concept>
        <code value="NORELINK"/>
        <display value="no relinking"/>
      </concept>
      <concept>
        <code value="NOREUSE"/>
        <display value="no reuse beyond purpose of use"/>
      </concept>
      <concept>
        <code value="NOVIP"/>
        <display value="no unauthorized VIP disclosure"/>
      </concept>
      <concept>
        <code value="ORCON"/>
        <display value="no disclosure without originator authorization"/>
      </concept>
      <concept>
        <code value="RefrainPolicy"/>
        <display value="refrain policy"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NOAUTH"/>
      <display value="no disclosure without subject authorization"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NOCOLLECT"/>
      <display value="no collection"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NODSCLCD"/>
      <display value="no disclosure without consent directive"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NODSCLCDS"/>
      <display
               value="no disclosure without information subject's consent directive"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NOINTEGRATE"/>
      <display value="no integration"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NOLIST"/>
      <display value="no unlisted entity disclosure"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NOMOU"/>
      <display value="no disclosure without MOU"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NOORGPOL"/>
      <display value="no disclosure without organizational authorization"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NOPAT"/>
      <display
               value="no disclosure to patient, family or caregivers without attending provider's authorization"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NOPERSISTP"/>
      <display value="no collection beyond purpose of use"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NORDSCLCD"/>
      <display value="no redisclosure without consent directive"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NORDSCLCDS"/>
      <display
               value="no redisclosure without information subject's consent directive"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NORDSCLW"/>
      <display value="no disclosure without jurisdictional authorization"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NORELINK"/>
      <display value="no relinking"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NOREUSE"/>
      <display value="no reuse beyond purpose of use"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="NOVIP"/>
      <display value="no unauthorized VIP disclosure"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="ORCON"/>
      <display value="no disclosure without originator authorization"/>
    </contains>
    <contains>
      <system value="http://hl7.org/fhir/v3/ActCode"/>
      <version value="2016-11-11"/>
      <code value="RefrainPolicy"/>
      <display value="refrain policy"/>
    </contains>
  </expansion>
</ValueSet>