Extensions for Using Data Elements from FHIR R5 in FHIR R4
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Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

: R5V3ActConsentInformationAccessOverrideReasonForR4 - XML Representation

Page standards status: Trial-use Maturity Level: 0

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="R5-v3-ActConsentInformationAccessOverrideReason-for-R4"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-v3-ActConsentInformationAccessOverrideReason-for-R4</b></p><a name="R5-v3-ActConsentInformationAccessOverrideReason-for-R4"> </a><a name="hcR5-v3-ActConsentInformationAccessOverrideReason-for-R4"> </a><p>This value set expansion contains 6 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="R5-v3-ActConsentInformationAccessOverrideReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-OVRER"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-OVRER">OVRER</a></td><td>emergency treatment override</td><td><div><p>To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention.</p>
<p><em>Usage Notes:</em> The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record.</p>
</div></td></tr><tr><td><a name="R5-v3-ActConsentInformationAccessOverrideReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-OVRINCOMP"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-OVRINCOMP">OVRINCOMP</a></td><td>incompetency override</td><td><div><p>To perform one or more operations on information to which the patient has not consented because deemed incompetent to provide consent.</p>
<p><em>Usage Note:</em> Maps to v2 CON-16 Subject Competence Indicator (ID) 01791 Definition: Identifies whether the subject was deemed competent to provide consent. Refer to table HL7 Table 0136 - Yes/No Indicator and CON-23 Non-Subject Consenter Reason User-defined Table 0502 - Non-Subject Consenter Reason code NC &quot;Subject is not competent to consent&quot;.</p>
</div></td></tr><tr><td><a name="R5-v3-ActConsentInformationAccessOverrideReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-OVRPJ"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-OVRPJ">OVRPJ</a></td><td>professional judgment override</td><td><div><p>To perform one or more operations on information to which the patient declined to consent for providing health care.</p>
<p><em>Usage Notes:</em> The patient, while able to give consent, has not. However the provider believes it is in the patient's interest to access the record without patient consent.</p>
</div></td></tr><tr><td><a name="R5-v3-ActConsentInformationAccessOverrideReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-OVRPS"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-OVRPS">OVRPS</a></td><td>public safety override</td><td><div><p>To perform one or more operations on information to which the patient has not consented for public safety reasons.</p>
<p><em>Usage Notes:</em> The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to public safety.</p>
</div></td></tr><tr><td><a name="R5-v3-ActConsentInformationAccessOverrideReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-OVRTPS"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-OVRTPS">OVRTPS</a></td><td>third party safety override</td><td><div><p>To perform one or more operations on information to which the patient has not consented for third party safety.</p>
<p><em>Usage Notes:</em> The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties.</p>
</div></td></tr><tr><td><a name="R5-v3-ActConsentInformationAccessOverrideReason-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActReason-_ActConsentInformationAccessOverrideReason"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ActReason.html#v3-ActReason-_ActConsentInformationAccessOverrideReason">_ActConsentInformationAccessOverrideReason</a></td><td>ActConsentInformationAccessOverrideReason</td><td><div><p>To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety.</p>
<p><em>Usage Notes:</em> Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.</p>
</div></td></tr></table></div>
  </text>
  <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-r5.r4"/>
    </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-r5.r4"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
      </extension>
    </valueInteger>
  </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-r5.r4"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ActConsentInformationAccessOverrideReason-for-R4"/>
  <version value="0.1.0"/>
  <name value="R5V3ActConsentInformationAccessOverrideReasonForR4"/>
  <title
         value="Cross-version ValueSet R5.ActConsentInformationAccessOverrideReason for use in FHIR R4"/>
  <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://terminology.hl7.org/ValueSet/v3-ActConsentInformationAccessOverrideReason|2.0.0` for use in FHIR R4."/>
  <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://terminology.hl7.org/ValueSet/v3-ActConsentInformationAccessOverrideReason|2.0.0` as defined in FHIR R5
in FHIR R4.

The source value set is bound to the following FHIR R5 elements:
* 

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

Following are the generation technical comments:

FHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ActConsentInformationAccessOverrideReason|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <concept>
        <code value="OVRER"/>
        <display value="emergency treatment override"/>
      </concept>
      <concept>
        <code value="OVRINCOMP"/>
        <display value="incompetency override"/>
      </concept>
      <concept>
        <code value="OVRPJ"/>
        <display value="professional judgment override"/>
      </concept>
      <concept>
        <code value="OVRPS"/>
        <display value="public safety override"/>
      </concept>
      <concept>
        <code value="OVRTPS"/>
        <display value="third party safety override"/>
      </concept>
      <concept>
        <code value="_ActConsentInformationAccessOverrideReason"/>
        <display value="ActConsentInformationAccessOverrideReason"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="OVRER"/>
      <display value="emergency treatment override"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="OVRINCOMP"/>
      <display value="incompetency override"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="OVRPJ"/>
      <display value="professional judgment override"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="OVRPS"/>
      <display value="public safety override"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="OVRTPS"/>
      <display value="third party safety override"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <version value="2.1.0"/>
      <code value="_ActConsentInformationAccessOverrideReason"/>
      <display value="ActConsentInformationAccessOverrideReason"/>
    </contains>
  </expansion>
</ValueSet>