Release 5 Preview #1
TerminologyThis page is part of the FHIR Specification (v4.2.0: R5 Preview #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R4 R3
Vocabulary  Work Group | Maturity Level: N/A | External | Use Context: Any |
This value set (http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue) is defined as part of HL7 v3.
Summary
| Defining URL: | http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue |
| Version: | 2014-03-26 |
| Name: | v3.SecurityControlObservationValue |
| Title: | V3 Value SetSecurityControlObservationValue |
| Definition: | Security observation values used to indicate security control metadata. V:SecurityControl is the union of V:SecurityPolicy, V:ObligationPolicy, V:RefrainPolicy, V:PurposeOfUse, and V:GeneralPurpose of Use, V:PrivacyMark, V:SecurityLabelMark, and V:ControlledUnclassifiedInformation used to populate the SecurityControlObservationValue attribute in order to convey one or more nonhierarchical security control metadata dictating handling caveats including, purpose of use, obligation policy, refrain policy, dissemination controls and privacy marks to which a custodian or receiver is required to comply. |
| OID: | 2.16.840.1.113883.1.11.20471 (for OID based terminology systems) |
| Source Resource | XML / JSON |
This value set is not currently used
This value set includes codes from the following code systems:
This expansion generated 31 Dec 2019
This value set contains 127 concepts
Expansion based on http://terminology.hl7.org/CodeSystem/v3-ActReason version 2019-07-31, http://terminology.hl7.org/ValueSet/v3-GeneralPurposeOfUse version 2014-03-26, http://terminology.hl7.org/ValueSet/v3-PurposeOfUse version 2014-03-26, http://terminology.hl7.org/ValueSet/v3-SecurityPolicy version 2014-03-26, http://terminology.hl7.org/CodeSystem/v3-ActCode version 2019-07-31, http://terminology.hl7.org/ValueSet/v3-RefrainPolicy version 2014-03-26, http://terminology.hl7.org/ValueSet/v3-ObligationPolicy version 2014-03-26
| Code | System | Display | Definition |
| SecurityPolicy | http://terminology.hl7.org/CodeSystem/v3-ActCode | security policy | Types of security policies that further specify the ActClassPolicy value set. Examples: obligation to encrypt refrain from redisclosure without consent |
| AUTHPOL | http://terminology.hl7.org/CodeSystem/v3-ActCode | authorization policy | Authorisation policies are essentially security policies related to access-control and specify what activities a subject is permitted or forbidden to do, to a set of target objects. They are designed to protect target objects so are interpreted by access control agents or the run-time systems at the target system. A positive authorisation policy defines the actions that a subject is permitted to perform on a target. A negative authorisation policy specifies the actions that a subject is forbidden to perform on a target. Positive authorisation policies may also include filters to transform the parameters associated with their actions. (Based on PONDERS) |
| ACCESSCONSCHEME | http://terminology.hl7.org/CodeSystem/v3-ActCode | access control scheme | An access control policy specific to the type of access control scheme, which is used to enforce one or more authorization policies. Usage Note: Access control schemes are the type of access control policy, which is comprised of access control policy rules concerning the provision of the access control service. There are two categories of access control policies, rule-based and identity-based, which are identified in CCITT Rec. X.800 aka ISO 7498-2. Rule-based access control policies are intended to apply to all access requests by any initiator on any target in a security domain. Identity-based access control policies are based on rules specific to an individual initiator, a group of initiators, entities acting on behalf of initiators, or originators acting in a specific role. Context can modify rule-based or identity-based access control policies. Context rules may define the entire policy in effect. Real systems will usually employ a combination of these policy types; if a rule-based policy is used, then an identity-based policy is usually in effect also. An access control scheme may be based on access control lists, capabilities, labels, and context or a combination of these. An access control scheme is a component of an access control mechanism or "service") along with the supporting mechanisms required by that scheme to provide access control decision information (ADI) supplied by the scheme to the access decision facility (ADF also known as a PDP). (Based on ISO/IEC 10181-3:1996) Examples: Attribute Based Access Control (ABAC) Discretionary Access Control (DAC) History Based Access Control (HBAC) Identity Based Access Control (IBAC) Mandatory Access Control (MAC) Organization Based Access Control (OrBAC) Relationship Based Access Control (RelBac) Responsibility Based Access Control (RespBAC) Risk Adaptable Access Control (RAdAC) > |
| DELEPOL | http://terminology.hl7.org/CodeSystem/v3-ActCode | delegation policy | Delegation policies specify which actions subjects are allowed to delegate to others. A delegation policy thus specifies an authorisation to delegate. Subjects must already possess the access rights to be delegated. Delegation policies are aimed at subjects delegating rights to servers or third parties to perform actions on their behalf and are not meant to be the means by which security administrators would assign rights to subjects. A negative delegation policy identifies what delegations are forbidden. A Delegation policy specifies the authorisation policy from which delegated rights are derived, the grantors, which are the entities which can delegate these access rights, and the grantees, which are the entities to which the access rights can be delegated. There are two types of delegation policy, positive and negative. (Based on PONDERS) |
| ObligationPolicy | http://terminology.hl7.org/CodeSystem/v3-ActCode | obligation policy | Conveys the mandated workflow action that an information custodian, receiver, or user must perform. Usage Notes: Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision. |
| ANONY | http://terminology.hl7.org/CodeSystem/v3-ActCode | anonymize | Custodian system must remove any information that could result in identifying the information subject. |
| AOD | http://terminology.hl7.org/CodeSystem/v3-ActCode | accounting of disclosure | Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual’s protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested. |
| AUDIT | http://terminology.hl7.org/CodeSystem/v3-ActCode | audit | Custodian system must monitor systems to ensure that all users are authorized to operate on information objects. |
| AUDTR | http://terminology.hl7.org/CodeSystem/v3-ActCode | audit trail | Custodian system must monitor and maintain retrievable log for each user and operation on information. |
| CPLYCC | http://terminology.hl7.org/CodeSystem/v3-ActCode | comply with confidentiality code | Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target. |
| CPLYCD | http://terminology.hl7.org/CodeSystem/v3-ActCode | comply with consent directive | Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives. |
| CPLYJPP | http://terminology.hl7.org/CodeSystem/v3-ActCode | comply with jurisdictional privacy policy | Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information. |
| CPLYOPP | http://terminology.hl7.org/CodeSystem/v3-ActCode | comply with organizational privacy policy | Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information. |
| CPLYOSP | http://terminology.hl7.org/CodeSystem/v3-ActCode | comply with organizational security policy | Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information. |
| CPLYPOL | http://terminology.hl7.org/CodeSystem/v3-ActCode | comply with policy | Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information. |
| DECLASSIFYLABEL | http://terminology.hl7.org/CodeSystem/v3-ActCode | declassify security label | Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. |
| DEID | http://terminology.hl7.org/CodeSystem/v3-ActCode | deidentify | Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. |
| DELAU | http://terminology.hl7.org/CodeSystem/v3-ActCode | delete after use | Custodian system must remove target information from access after use. |
| DOWNGRDLABEL | http://terminology.hl7.org/CodeSystem/v3-ActCode | downgrade security label | Custodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. |
| DRIVLABEL | http://terminology.hl7.org/CodeSystem/v3-ActCode | derive security label | Custodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. |
| ENCRYPT | http://terminology.hl7.org/CodeSystem/v3-ActCode | encrypt | Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext. Usage Notes: A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.) |
| ENCRYPTR | http://terminology.hl7.org/CodeSystem/v3-ActCode | encrypt at rest | Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage. |
| ENCRYPTT | http://terminology.hl7.org/CodeSystem/v3-ActCode | encrypt in transit | Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means. |
| ENCRYPTU | http://terminology.hl7.org/CodeSystem/v3-ActCode | encrypt in use | Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user. |
| HUAPRV | http://terminology.hl7.org/CodeSystem/v3-ActCode | human approval | Custodian system must require human review and approval for permission requested. |
| LABEL | http://terminology.hl7.org/CodeSystem/v3-ActCode | assign security label | Custodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding. Usage Note: In security systems, security policy label assignments do not change, they may supersede prior assignments, and such reassignments are always tracked for auditing and other purposes. |
| MASK | http://terminology.hl7.org/CodeSystem/v3-ActCode | mask | Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or "shared secret". |
| MINEC | http://terminology.hl7.org/CodeSystem/v3-ActCode | minimum necessary | Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use. Usage Note: Limiting the information available for access and disclosure to that an authorized user or receiver "needs to know" in order to perform permitted workflow or purpose of use. |
| PERSISTLABEL | http://terminology.hl7.org/CodeSystem/v3-ActCode | persist security label | Custodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding. |
| PRIVMARK | http://terminology.hl7.org/CodeSystem/v3-ActCode | privacy mark | Custodian must create and/or maintain human readable security label tags as required by policy. Map: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: "If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label." |
| PSEUD | http://terminology.hl7.org/CodeSystem/v3-ActCode | pseudonymize | Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject. |
| REDACT | http://terminology.hl7.org/CodeSystem/v3-ActCode | redact | Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users. |
| UPGRDLABEL | http://terminology.hl7.org/CodeSystem/v3-ActCode | upgrade security label | Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding. |
| CONTROLLED | http://terminology.hl7.org/CodeSystem/v3-ActCode | CONTROLLED | A displayed mark, required to be rendered as "CONTROLLED", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf. |
| CUI | http://terminology.hl7.org/CodeSystem/v3-ActCode | CUI | A displayed mark, required to be rendered as "CUI", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf. |
| CUIHLTH | http://terminology.hl7.org/CodeSystem/v3-ActCode | CUI//HLTH | A displayed mark, required to be rendered as "CUI//HLTH", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf |
| CUIHLTHP | http://terminology.hl7.org/CodeSystem/v3-ActCode | (CUI//HLTH) | A displayed mark, required to be rendered as "(CUI//HLTH)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf |
| CUIP | http://terminology.hl7.org/CodeSystem/v3-ActCode | (CUI) | A displayed mark, required to be rendered as "(CUI)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf |
| CUIPRVCY | http://terminology.hl7.org/CodeSystem/v3-ActCode | CUI//PRVCY | A displayed mark, required to be rendered as "CUI//PRVCY", indicating that the electronic or hardcopy controlled unclassified basic privacy information is private and must be protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf. |
| CUIPRVCYP | http://terminology.hl7.org/CodeSystem/v3-ActCode | (CUI//PRVCY) | A displayed mark, required to be rendered as "(CUI//PRVCY)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf. |
| CUISP-HLTH | http://terminology.hl7.org/CodeSystem/v3-ActCode | CUI//SP-HLTH | A displayed mark, required to be rendered as "CUI//SP-HLTH", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI in which the authorizing law, regulation, or Government-wide policy contains specific handling controls that it requires or permits agencies to use that differ from those for CUI Basic. The CUI Registry indicates which laws, regulations, and Government-wide policies include such specific requirements. CUI Specified controls may be more stringent than, or may simply differ from, those required by CUI Basic; the distinction is that the underlying authority spells out the controls for CUI Specified information and does not for CUI Basic information. CUI Basic controls apply to those aspects of CUI Specified where the authorizing laws, regulations, and Government-wide policies do not provide specific guidance. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf. |
| CUISP-HLTHP | http://terminology.hl7.org/CodeSystem/v3-ActCode | (CUI//SP-HLTH) | A displayed mark, required to be rendered as "(CUI//SP-HLTH)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf |
| CUISP-PRVCY | http://terminology.hl7.org/CodeSystem/v3-ActCode | CUI//SP-PRVCY | A displayed mark, required to be rendered as "CUI//SP-PRVCY", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Specified marking is OMB M-17-12� This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12_0.pdf. |
| CUISP-PRVCYP | http://terminology.hl7.org/CodeSystem/v3-ActCode | (CUI//SP-PRVCY) | A displayed mark, required to be rendered as "(CUI//SP-PRVCY)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. Usage Note: Examples of privacy regulation governing CUI Specified marking is OMB M-17-12� This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12_0.pdf. |
| UUI | http://terminology.hl7.org/CodeSystem/v3-ActCode | (U) | A displayed mark, required to be rendered as "(U)", indicating that a portion of an electronic or hardcopy information is neither Executive Order 13556 nor classified information authorities cover as protected. Although this information is not controlled or classified, agencies must still handle it in accordance with Federal Information Security Modernization Act (FISMA) requirements. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html Usage Note: Regulatory Source: 32 CFR § 2002.20 Marking. Federal Register Page 63344 63344 (ii) Authorized holders permitted to designate CUI must portion mark both CUI and uncontrolled unclassified portions. CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf CUI Portion Marking: Portion marking of CUI is optional in a fully unclassified document, but is permitted and encouraged to facilitate information sharing and proper handling of the information. Agency heads may approve the required use of CUI Portion marking on all CUI generated within their agency. As such, users should consult their agency CUI policy when creating CUI documents. When CUI Portion Markings are used and a portion does not contain CUI a “U� is placed in parentheses to indicate that the portion contains Uncontrolled Unclassified Information. (Page 14) CUI Portion Markings are placed at the beginning of the portion to which they apply and must be used throughout the entire document. They are presented in all capital letters and separated as indicated in this handbook and the CUI Registry. The presence of EVEN ONE item of CUI in a document requires CUI marking of that document. Because of this, CUI Portion Markings can be of great assistance in determining if a document contains CUI and therefore must be marked as such. Remember: When portion markings are used and any portion does not contain CUI, a “(U)� is placed in front of that portion to indicate that it contains Uncontrolled - or non-CUI - Unclassified Information. (Page 15) |
| ConfidentialMark | http://terminology.hl7.org/CodeSystem/v3-ActCode | confidential mark | A displayed mark rendered as "Confidential", which indicates to end users that the electronic or hardcopy information they are viewing must be protected at a level of protection as dictated by applicable policy. May be used to indicate proprietary or classified information that is, for example, business, intelligence, or project related, e.g., secret ingredients in a therapeutic substance; location of disaster health facilities and providers, or the name of a manufacturer or project contractor. Example use cases include a display to alert authorized business system users that they are viewing additionally protected proprietary and business confidential information deemed proprietary under an applicable jurisdictional or organizational policy. Usage Note: The ConfidentialMark (confidential mark) description is based on the HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes. Usage Note: Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources. Map: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes. |
| COPYMark | http://terminology.hl7.org/CodeSystem/v3-ActCode | copy of original mark | A displayed mark indicating that the electronic or hardcopy information is a copy of an authoritative source for the information. The copy is not considered authoritative but is a duplicate of the authoritative content. Usage Note: Applicable policy will dictate how the COPY mark will be displayed. Typical renderings include the marking appearing at the top or "banner" of electronic or hardcopy pages, or as watermarks set diagonally across each page. |
| DeliverToAddresseeOnlyMark | http://terminology.hl7.org/CodeSystem/v3-ActCode | deliver only to addressee mark | A displayed mark on an electronic transmission or physical container such as an electronic transmittal wrapper, batch file, message header, or a physical envelop or package indicating that the contents, whether electronic or hardcopy information, must only be delivered to the authorized recipient(s) named in the address. Usage Note: Required by US 32 CRF Part 2002 for container storing or transmitting CUI. |
| RedisclosureProhibitionMark | http://terminology.hl7.org/CodeSystem/v3-ActCode | prohibition against redisclosure mark | A displayed mark rendered to end users as a prescribed text warning that the electronic or hardcopy information shall not be further disclosed without consent of the subject of the information. For example, in order to warn a recipient of 42 CFR Part 2 information of the redisclosure restrictions, the rule mandates that end users receive a written prohibition against redisclosure unless authorized by patient consent or otherwise permitted by Part 2. See 42 CFR § 2.32 Prohibition on re-disclosure. (a)Notice to accompany disclosure. Each disclosure made with the patient's written consent must be accompanied by one of the following written statements: (1) This information has been disclosed to you from records protected by federal confidentiality rules ( 42 CFR part 2). The federal rules prohibit you from making any further disclosure of information in this record that identifies a patient as having or having had a substance use disorder either directly, by reference to publicly available information, or through verification of such identification by another person unless further disclosure is expressly permitted by the written consent of the individual whose information is being disclosed or as otherwise permitted by 42 CFR part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose (see § 2.31). The federal rules restrict any use of the information to investigate or prosecute with regard to a crime any patient with a substance use disorder, except as provided at §§ 2.12(c)(5) and 2.65; or (2) 42 CFR part 2 prohibits unauthorized disclosure of these records. https://www.law.cornell.edu/cfr/text/42/2.32 Usage Note: Example of marking requirement from SAMHSA FAQ Response to question 13: Would a logon or splash page notification on an HIO’s portal that contains the Part 2 notice prohibiting redisclosure be sufficient to meet Part 2’s requirement that disclosures made with patient consent be accompanied by such a statement? No. Part 2 requires each disclosure made with written patient consent to be accompanied by a written statement that the information disclosed is protected by federal law and that the recipient cannot make any further disclosure of it unless permitted by the regulations (42 CFR § 2.32). A logon page is the page where a user logs onto a computer system; a splash page is an introductory page to a web site. A logon or splash page notification on a HIO's portal including the statement as required by § 2.32 would not be sufficient notification regarding prohibitions on redisclosure since it would not accompany a specific disclosure. The notification must be tied to the Part 2 information being disclosed in order to ensure that the recipient of that information knows that specific information is protected by Part 2 and cannot be redisclosed except as authorized by the express written consent of the person to whom it pertains or as otherwise permitted by Part 2. https://www.samhsa.gov/about-us/who-we-are/laws-regulations/confidentiality-regulations-faqs |
| RestrictedConfidentialityMark | http://terminology.hl7.org/CodeSystem/v3-ActCode | restricted confidentiality mark | A displayed mark rendered to end users as "Restricted Confidentiality", which indicates that the electronic or hardcopy information they are viewing, must be protected at a restricted level of confidentiality protection as defined by HL7 Confidentiality code "R" (restricted). 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. Use cases include a display to alert authorized EHR users that they are viewing additionally protected health information deemed sensitive by an applicable jurisdictional, organizational, or personal privacy policy. Usage Note: The definition is based on HL7 Confidentiality code "R" (restricted), which is described as: 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. Foundational definitions of Confidentiality: From HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes. Usage Note from HL7 Confidentiality code "R": Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources. This metadata indicates that the receiver may be obligated to comply with applicable, prevailing (default) jurisdictional privacy law or disclosure authorization. Map: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes. 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. |
| RefrainPolicy | http://terminology.hl7.org/CodeSystem/v3-ActCode | refrain policy | Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances. 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. |
| NOAUTH | http://terminology.hl7.org/CodeSystem/v3-ActCode | no disclosure without subject authorization | Prohibition on disclosure without information subject's authorization. |
| NOCOLLECT | http://terminology.hl7.org/CodeSystem/v3-ActCode | no collection | Prohibition on collection or storage of the information. |
| NODSCLCD | http://terminology.hl7.org/CodeSystem/v3-ActCode | no disclosure without consent directive | Prohibition on disclosure without organizational approved patient restriction. |
| NODSCLCDS | http://terminology.hl7.org/CodeSystem/v3-ActCode | no disclosure without information subject's consent directive | Prohibition on disclosure without a consent directive from the information subject. |
| NOINTEGRATE | http://terminology.hl7.org/CodeSystem/v3-ActCode | no integration | Prohibition on Integration into other records. |
| NOLIST | http://terminology.hl7.org/CodeSystem/v3-ActCode | no unlisted entity disclosure | Prohibition on disclosure except to entities on specific access list. |
| NOMOU | http://terminology.hl7.org/CodeSystem/v3-ActCode | no disclosure without MOU | Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU). |
| NOORGPOL | http://terminology.hl7.org/CodeSystem/v3-ActCode | no disclosure without organizational authorization | Prohibition on disclosure without organizational authorization. |
| NOPAT | http://terminology.hl7.org/CodeSystem/v3-ActCode | no 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. 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 "keep information from patient". 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). |
| NOPERSISTP | http://terminology.hl7.org/CodeSystem/v3-ActCode | no collection beyond purpose of use | Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited. |
| NORDSCLCD | http://terminology.hl7.org/CodeSystem/v3-ActCode | no redisclosure without consent directive | Prohibition on redisclosure without patient consent directive. |
| NORDSCLCDS | http://terminology.hl7.org/CodeSystem/v3-ActCode | no redisclosure without information subject's consent directive | Prohibition on redisclosure without a consent directive from the information subject. |
| NORDSCLW | http://terminology.hl7.org/CodeSystem/v3-ActCode | no disclosure without jurisdictional authorization | Prohibition on disclosure without authorization under jurisdictional law. |
| NORELINK | http://terminology.hl7.org/CodeSystem/v3-ActCode | no 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. |
| NOREUSE | http://terminology.hl7.org/CodeSystem/v3-ActCode | no reuse beyond purpose of use | Prohibition on use of the information beyond the purpose of use initially authorized. |
| NOVIP | http://terminology.hl7.org/CodeSystem/v3-ActCode | no unauthorized VIP disclosure | Prohibition on disclosure except to principals with access permission to specific VIP information. |
| ORCON | http://terminology.hl7.org/CodeSystem/v3-ActCode | no disclosure without originator authorization | Prohibition on disclosure except as permitted by the information originator. |
| HMARKT | http://terminology.hl7.org/CodeSystem/v3-ActReason | healthcare marketing | To perform one or more operations on information for marketing services and products related to health care. |
| HOPERAT | http://terminology.hl7.org/CodeSystem/v3-ActReason | healthcare operations | To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care. |
| CAREMGT | http://terminology.hl7.org/CodeSystem/v3-ActReason | care management | To perform analytics, evaluation and other secondary uses of treatment and healthcare related information to manage the quality, efficacy, patient safety, population health, and cost effectiveness of healthcare delivery. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment. Usage Note: The concept of care management is narrower than the list of activities related to more general organizational objectives such as provider profiling, education of healthcare and non-healthcare professionals; insurance underwriting, premium rating, reinsurance; organizational legal, medical review, auditing, compliance and fraud and abuse detection; business planning, development, and restructuring; fund-raising; and customer service. Map: Maps to ISO 14265 Classification Term "Health service management and quality assurance" described as "To inform persons or processes responsible for determining the availability, quality, safety, equity and cost-effectiveness of health care services." There is a semantic gap in concepts. This classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity. |
| DONAT | http://terminology.hl7.org/CodeSystem/v3-ActReason | donation | To perform one or more operations on information used for cadaveric organ, eye or tissue donation. |
| FRAUD | http://terminology.hl7.org/CodeSystem/v3-ActReason | fraud | To perform one or more operations on information used for fraud detection and prevention processes. |
| GOV | http://terminology.hl7.org/CodeSystem/v3-ActReason | government | To perform one or more operations on information used within government processes. |
| HACCRED | http://terminology.hl7.org/CodeSystem/v3-ActReason | health accreditation | To perform one or more operations on information for conducting activities related to meeting accreditation criteria. |
| HCOMPL | http://terminology.hl7.org/CodeSystem/v3-ActReason | health compliance | To perform one or more operations on information used for conducting activities required to meet a mandate. |
| HDECD | http://terminology.hl7.org/CodeSystem/v3-ActReason | decedent | To perform one or more operations on information used for handling deceased patient matters. |
| HDIRECT | http://terminology.hl7.org/CodeSystem/v3-ActReason | directory | To perform one or more operation operations on information used to manage a patient directory. Examples: facility enterprise payer health information exchange patient directory |
| HDM | http://terminology.hl7.org/CodeSystem/v3-ActReason | healthcare delivery management | To perform one or more actions on information used for conducting administrative and contractual activities by or on behalf of organizational entities responsible for delivery of an individual's benefits in a healthcare program, health plan or insurance. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment. Usage Note: Examples of activities conducted under this purpose of use: provider profiling, risk adjustment, underwriting, fraud and abuse, quality improvement population health and care management. Aligns with HIPAA Operation POU minus coordination of care or other treatment related activities. Similar to the description in SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking. Map: Maps to ISO 14265 Classification Term "Administration of care for an individual subject of care" described as "To inform persons or processes responsible for enabling the availability of resources or funding or permissions for providing health care services to the subject of care." However, this classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity. |
| HLEGAL | http://terminology.hl7.org/CodeSystem/v3-ActReason | legal | To perform one or more operations on information for conducting activities required by legal proceeding. |
| HOUTCOMS | http://terminology.hl7.org/CodeSystem/v3-ActReason | health outcome measure | To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions. |
| HPRGRP | http://terminology.hl7.org/CodeSystem/v3-ActReason | health program reporting | To perform one or more operations on information used for conducting activities to meet program accounting requirements. |
| HQUALIMP | http://terminology.hl7.org/CodeSystem/v3-ActReason | health quality improvement | To perform one or more operations on information used for conducting administrative activities to improve health care quality. |
| HSYSADMIN | http://terminology.hl7.org/CodeSystem/v3-ActReason | health system administration | To perform one or more operations on information to administer the electronic systems used for the delivery of health care. |
| LABELING | http://terminology.hl7.org/CodeSystem/v3-ActReason | labeling | To perform one or more operations on information to assign, persist, and manage labels to healthcare data to characterize various aspects, such as its security classification, sensitivity, compartment, integrity, and provenance; applicable privacy, consent, security, provenance, and trust policies; and handling caveats such as purpose of use, obligations, and refrain policies. Label management includes classification of target data by constructing and binding of a label set per applicable policies, security policy information file semantics, and classification guides. Label management also includes process and procedures for subsequent revision of a label for, e.g., reclassification, downgrading classification, and declassification. Label revisions may be triggered by, e.g., expiry of classification period; changes in applicable policy, e.g., revocation of a consent directive; or changes in the governing policy domain in which the data is relocated or a copy of the data is sent. If a label is revised, an audit log should be kept and the provenance of the label changes should be tracked. |
| METAMGT | http://terminology.hl7.org/CodeSystem/v3-ActReason | metadata management | To perform one or more operations on information to assign, persist, and manage metadata to healthcare data to characterize various aspects used for its indexing, discovery, retrieval, and processing by systems, applications, and end users. For example, master index identifier, media type, and location. |
| MEMADMIN | http://terminology.hl7.org/CodeSystem/v3-ActReason | member administration | To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program. |
| MILCDM | http://terminology.hl7.org/CodeSystem/v3-ActReason | military command | To perform one or more operations on information for conducting activities required by military processes, procedures, policies, or law. |
| PATADMIN | http://terminology.hl7.org/CodeSystem/v3-ActReason | patient administration | To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient. |
| PATSFTY | http://terminology.hl7.org/CodeSystem/v3-ActReason | patient safety | To perform one or more operations on information in processes related to ensuring the safety of health care. |
| PERFMSR | http://terminology.hl7.org/CodeSystem/v3-ActReason | performance measure | To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions. |
| RECORDMGT | http://terminology.hl7.org/CodeSystem/v3-ActReason | records management | To perform one or more operations on information used within the health records management process. |
| SYSDEV | http://terminology.hl7.org/CodeSystem/v3-ActReason | system development | To perform one or more operations on information to design, develop, implement, test, or deploy a healthcare system or application. |
| HTEST | http://terminology.hl7.org/CodeSystem/v3-ActReason | test health data | To perform one or more operations on information that is simulated or synthetic health data used for testing system capabilities outside of a production or operational system environment. Usage Note: Data marked with a HTEST security label enables an access control system to permit interfacing systems or end users provisioned with a clearance, which includes a HTEST purpose of use attribute, to test, verify, or validate that a system or application will operate in production as intended based on design specifications. |
| TRAIN | http://terminology.hl7.org/CodeSystem/v3-ActReason | training | To perform one or more operations on information used in training and education. |
| HPAYMT | http://terminology.hl7.org/CodeSystem/v3-ActReason | healthcare payment | To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care. |
| CLMATTCH | http://terminology.hl7.org/CodeSystem/v3-ActReason | claim attachment | To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services. |
| COVAUTH | http://terminology.hl7.org/CodeSystem/v3-ActReason | coverage authorization | To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services. |
| COVERAGE | http://terminology.hl7.org/CodeSystem/v3-ActReason | coverage under policy or program | To perform one or more operations on information for conducting activities related to coverage under a program or policy. |
| ELIGDTRM | http://terminology.hl7.org/CodeSystem/v3-ActReason | eligibility determination | To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment. |
| ELIGVER | http://terminology.hl7.org/CodeSystem/v3-ActReason | eligibility verification | To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy. May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays. |
| ENROLLM | http://terminology.hl7.org/CodeSystem/v3-ActReason | enrollment | To perform one or more operations on information used for enrolling a covered party in a program or policy. May entail recording of covered party's and any dependent's demographic information and benefit choices. |
| MILDCRG | http://terminology.hl7.org/CodeSystem/v3-ActReason | military discharge | To perform one or more operations on information for the process of releasing military personnel from their service obligations, which may include determining service merit, discharge benefits, and disability assessment. |
| REMITADV | http://terminology.hl7.org/CodeSystem/v3-ActReason | remittance advice | To perform one or more operations on information about the amount remitted for a health care claim. |
| HRESCH | http://terminology.hl7.org/CodeSystem/v3-ActReason | healthcare research | To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data iincludes basic and applied research such as biomedical, population origin or ancestry, translational research, and disease, discipline, specialty specific healthcare research and clinical trial research. |
| BIORCH | http://terminology.hl7.org/CodeSystem/v3-ActReason | biomedical research | To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified biomedical basic or applied research. For example, research on rare plants to determine whether biologic properties may be useful for pharmaceutical development. May be used in combination with clinical trial and other healthcare research purposes of use. |
| CLINTRCH | http://terminology.hl7.org/CodeSystem/v3-ActReason | clinical trial research | To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge. |
| CLINTRCHNPC | http://terminology.hl7.org/CodeSystem/v3-ActReason | clinical trial research without patient care | To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge without provision of patient care. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, a clinical trial conducted on laboratory specimens collected from a specified patient population. |
| CLINTRCHPC | http://terminology.hl7.org/CodeSystem/v3-ActReason | clinical trial research with patient care | To perform one or more operations on information for conducting scientific investigations with patient care in accordance with clinical trial protocols to obtain health care knowledge. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, an "off-label" drug used for cancer therapy administer to a specified patient population. |
| PRECLINTRCH | http://terminology.hl7.org/CodeSystem/v3-ActReason | preclinical trial research | To perform one or more operations on information in preparation for conducting scientific investigation to obtain health care knowledge, such as research on animals or review of patient health records, to determine the feasibility of a clinical trial study; assist with protocol design; or in preparation for institutional review board or ethics committee approval process. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. |
| DSRCH | http://terminology.hl7.org/CodeSystem/v3-ActReason | disease specific healthcare research | To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified conditions, diagnosis, or disease healthcare research. For example, conducting cancer research by testing reaction of tumor cells to certain biologics. May be used in combination with clinical trial and other healthcare research purposes of use. |
| POARCH | http://terminology.hl7.org/CodeSystem/v3-ActReason | population origins or ancestry healthcare research | To perform one or more operations on information, including genealogical pedigrees, historical records, surveys, family health data, health records, and genetic information, for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to population origins and/or ancestry healthcare research. For example, gathering genetic specimens from a specific population in order to determine the ancestry and population origins of that group. May be used in combination with clinical trial and other healthcare research purposes of use. |
| TRANSRCH | http://terminology.hl7.org/CodeSystem/v3-ActReason | translational healthcare research | To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge related to evidence based medicine during the course of providing healthcare treatment. Sometimes referred to as "bench to bedside", which is the iterative feedback loop between healthcare research and clinical trials with input from information collected in the course of routine provision of healthcare. For example, by extending a patient encounter to conduct a survey related to a research topic such as attitudes about use of a wellness device that a patient agreed to use. May be used in combination with clinical trial and other healthcare research purposes of use. |
| PATRQT | http://terminology.hl7.org/CodeSystem/v3-ActReason | patient requested | To perform one or more operations on information in response to a patient's request. |
| FAMRQT | http://terminology.hl7.org/CodeSystem/v3-ActReason | family requested | To perform one or more operations on information in response to a request by a family member authorized by the patient. |
| PWATRNY | http://terminology.hl7.org/CodeSystem/v3-ActReason | power of attorney | To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative. |
| SUPNWK | http://terminology.hl7.org/CodeSystem/v3-ActReason | support network | To perform one or more operations on information in response to a request by a person authorized by the patient. |
| PUBHLTH | http://terminology.hl7.org/CodeSystem/v3-ActReason | public health | To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions. |
| DISASTER | http://terminology.hl7.org/CodeSystem/v3-ActReason | disaster | To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone. |
| THREAT | http://terminology.hl7.org/CodeSystem/v3-ActReason | threat | To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence. |
| TREAT | http://terminology.hl7.org/CodeSystem/v3-ActReason | treatment | To perform one or more operations on information for provision of health care. |
| CLINTRL | http://terminology.hl7.org/CodeSystem/v3-ActReason | clinical trial | To perform health care as part of the clinical trial protocol. |
| COC | http://terminology.hl7.org/CodeSystem/v3-ActReason | coordination of care | To perform one or more actions on information in order to organize the provision and case management of an individual’s healthcare, including: Monitoring a person's goals, needs, and preferences; acting as the communication link between two or more participants concerned with a person's health and wellness; organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person; and ensuring safe, appropriate, non-duplicative, and effective integrated care. Usage Note: Use when describing these functions: 1. Monitoring a person’s goals, needs, and preferences. 2. Acting as the communication link between two or more participants concerned with a person's health and wellness. 3. Organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person. 4. Ensuring safe, appropriate, non-duplicative, and effective integrated care. The goal is to clearly differentiate this type of coordination of care from HIPAA Operations by specifying that these actions on information are undertaken in the provision of healthcare treatment. For similar uses of this concept, see SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking, which differentiates concepts of care coordination and case management for the provision of treatment as specifically distinct from activities related to health care delivery management and the operations of organizational entities involved in the delivery of healthcare. Map: Maps to ISO 14265 Classification Terms: "Support of care activities within the provider organisation for an individual subject of care" described as "To inform persons or processes enabling others to provide health care services to the subject of care." "Subject of Care Uses" described as "To inform the subject of care in support of his or her own interests." |
| ETREAT | http://terminology.hl7.org/CodeSystem/v3-ActReason | Emergency Treatment | To perform one or more operations on information for provision of immediately needed health care for an emergent condition. |
| BTG | http://terminology.hl7.org/CodeSystem/v3-ActReason | break the glass | To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access. Map: Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure. |
| ERTREAT | http://terminology.hl7.org/CodeSystem/v3-ActReason | emergency room treatment | To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a "Break the Glass" purpose of use. Map:Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure. There is a semantic gap in concepts. This classification term is described as activities “to inform persons� rather than the rationale for performing actions/operations on information related to the activity. |
| POPHLTH | http://terminology.hl7.org/CodeSystem/v3-ActReason | population health | To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program. |
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