{ "resourceType" : "ValueSet", "id" : "R5-v3-RefrainPolicy-for-R4", "text" : { "status" : "generated", "div" : "

Generated Narrative: ValueSet R5-v3-RefrainPolicy-for-R4

This value set expansion contains 19 concepts.

SystemVersionCodeDisplayDefinition
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NOAUTHno disclosure without subject authorization

Prohibition on disclosure without information subject's authorization.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NOCOLLECTno collection

Prohibition on collection or storage of the information.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NODSCLCDno disclosure without consent directive

Prohibition on disclosure without organizational approved patient restriction.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NODSCLCDSno disclosure without information subject's consent directive

Prohibition on disclosure without a consent directive from the information subject.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NOINTEGRATEno integration

Prohibition on Integration into other records.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NOLISTno unlisted entity disclosure

Prohibition on disclosure except to entities on specific access list.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NOMOUno disclosure without MOU

Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NOORGPOLno disclosure without organizational authorization

Prohibition on disclosure without organizational authorization.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NOPATno disclosure to patient, family or caregivers without attending provider's authorization

Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization.

\n

Usage Note: The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access.

\n

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

\n

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

\n
    \n
  • displayName: Document non visible par le patient
    • \n
  • codingScheme: 1.2.250.1.213.1.1.4.13
    • \n
\n

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).

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NOPERSISTPno collection beyond purpose of use

Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NORDSCLCDno redisclosure without consent directive

Prohibition on redisclosure without patient consent directive.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NORDSCLCDSno redisclosure without information subject's consent directive

Prohibition on redisclosure without a consent directive from the information subject.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NORDSCLWno disclosure without jurisdictional authorization

Prohibition on disclosure without authorization under jurisdictional law.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NORDSLCDno redisclosure without consent directive

Prohibition on redisclosure without patient consent directive.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NORELINKno relinking

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.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NOREUSEno reuse beyond purpose of use

Prohibition on use of the information beyond the purpose of use initially authorized.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0NOVIPno unauthorized VIP disclosure

Prohibition on disclosure except to principals with access permission to specific VIP information.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0ORCONno disclosure without originator authorization

Prohibition on disclosure except as permitted by the information originator.

\n
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0\u00a0\u00a0RefrainPolicyrefrain policy

Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.

\n

Usage Notes: ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". 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.

\n
" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "fhir" }, { "extension" : [{ "url" : "packageId", "valueId" : "hl7.fhir.uv.xver-r5.r4" }, { "url" : "version", "valueString" : "0.1.0" }, { "url" : "uri", "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4" }], "url" : "http://hl7.org/fhir/StructureDefinition/package-source" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger" : 0, "_valueInteger" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "trial-use", "_valueCode" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4" }] } }], "url" : "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-RefrainPolicy-for-R4", "version" : "0.1.0", "name" : "R5V3RefrainPolicyForR4", "title" : "Cross-version ValueSet R5.RefrainPolicy for use in FHIR R4", "status" : "active", "experimental" : false, "date" : "2026-03-17T21:02:03.8104715+00:00", "publisher" : "FHIR Infrastructure", "contact" : [{ "name" : "FHIR Infrastructure", "telecom" : [{ "system" : "url", "value" : "http://www.hl7.org/Special/committees/fiwg" }] }], "description" : "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2.0.0` for use in FHIR R4.", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001", "display" : "World" }] }], "purpose" : "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2.0.0` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* \r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4", "compose" : { "include" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "concept" : [{ "code" : "NOAUTH", "display" : "no disclosure without subject authorization" }, { "code" : "NOCOLLECT", "display" : "no collection" }, { "code" : "NODSCLCD", "display" : "no disclosure without consent directive" }, { "code" : "NODSCLCDS", "display" : "no disclosure without information subject's consent directive" }, { "code" : "NOINTEGRATE", "display" : "no integration" }, { "code" : "NOLIST", "display" : "no unlisted entity disclosure" }, { "code" : "NOMOU", "display" : "no disclosure without MOU" }, { "code" : "NOORGPOL", "display" : "no disclosure without organizational authorization" }, { "code" : "NOPAT", "display" : "no disclosure to patient, family or caregivers without attending provider's authorization" }, { "code" : "NOPERSISTP", "display" : "no collection beyond purpose of use" }, { "code" : "NORDSCLCD", "display" : "no redisclosure without consent directive" }, { "code" : "NORDSCLCDS", "display" : "no redisclosure without information subject's consent directive" }, { "code" : "NORDSCLW", "display" : "no disclosure without jurisdictional authorization" }, { "code" : "NORDSLCD", "display" : "no redisclosure without consent directive" }, { "code" : "NORELINK", "display" : "no relinking" }, { "code" : "NOREUSE", "display" : "no reuse beyond purpose of use" }, { "code" : "NOVIP", "display" : "no unauthorized VIP disclosure" }, { "code" : "ORCON", "display" : "no disclosure without originator authorization" }, { "code" : "RefrainPolicy", "display" : "refrain policy" }] }] }, "expansion" : { "timestamp" : "2026-03-17T21:02:03.8104715+00:00", "contains" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NOAUTH", "display" : "no disclosure without subject authorization" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NOCOLLECT", "display" : "no collection" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NODSCLCD", "display" : "no disclosure without consent directive" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NODSCLCDS", "display" : "no disclosure without information subject's consent directive" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NOINTEGRATE", "display" : "no integration" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NOLIST", "display" : "no unlisted entity disclosure" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NOMOU", "display" : "no disclosure without MOU" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NOORGPOL", "display" : "no disclosure without organizational authorization" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NOPAT", "display" : "no disclosure to patient, family or caregivers without attending provider's authorization" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NOPERSISTP", "display" : "no collection beyond purpose of use" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NORDSCLCD", "display" : "no redisclosure without consent directive" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NORDSCLCDS", "display" : "no redisclosure without information subject's consent directive" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NORDSCLW", "display" : "no disclosure without jurisdictional authorization" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NORDSLCD", "display" : "no redisclosure without consent directive" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NORELINK", "display" : "no relinking" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NOREUSE", "display" : "no reuse beyond purpose of use" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "NOVIP", "display" : "no unauthorized VIP disclosure" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "ORCON", "display" : "no disclosure without originator authorization" }, { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "version" : "8.0.0", "code" : "RefrainPolicy", "display" : "refrain policy" }] } }